To ALL UK clinic over 18s,

Please return your COVID immunisation questionnaire ASAP if you have not already done so.

We are currently planning for all adult appointments. The questionnaire is attached and may be sent to

Even if you have had a vaccine elsewhere or not wish to be included please send back your return.   This will to allow us to update your record and, where relevant, ensure you are able to get an NHS certificate.

Please do not call the medical centre for vaccination administration but use email.  This allows us to keep the telephone lines clear for patients needing other types of care.

Kind regards,


Elizabeth Fuller |Practice Manager SHAPE & Brussels PracticeSHAPE Healthcare FacilitySHAPE | 7010 Mons | Belgium (BFPO 26) | DTN 9205423 5825 | Civ 0032 6544 5825 |  |