ANNUAL RETURNS OF YELLOW FEVER VACCINE UTILISATION

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Confirmation of Completion of Online Yellow Fever Training
Please insert your Yellow Fever Vaccination Centre stamp in box:
Name of Yellow Fever Vaccination Centre: ______________________________________________
Confirmation of Online Yellow Fever Vaccination Centre training
Name of person who completed training: ________________________________________________
Date of completion: ____________________________
As Medical Practitioner with overall responsibility for the Yellow Fever Vaccination Centre, I confirm that
training has been completed.
Name (printed): _______________________________________________
Signature: ____________________________________________________
Please return this form by mail or email to HPS at the address below.
Travel Health Section (Yellow Fever)
Health Protection Scotland
Meridian Court
5 Cadogan Street
Glasgow
G2 6QE
Email: nss.hpsyellowfever@nhs.net
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