Medication Travel Letter Template UK

The Medication Travel Letter Template UK is offered in multiple formats, including PDF, Word, and Google Docs, featuring editable and printer-friendly samples.

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Sample

Medication Travel Letter Template UK

Editable – Printable

PDF – 1 PDF – 2

Medication Travel Letter Template UK

1. Patient Information



2. Doctor Information



3. Travel Information

4. Medication Details

5. Purpose of Medication

6. Special Instructions

7. Emergency Contact Information


8. Declaration and Consent

9. Doctor’s Signature and Date


10. Patient’s Acknowledgment

PDF

WORD

Examples

Medication Travel Letter Template UK (1)
Issued to:
[Name of the Patient]
[Patient’s Date of Birth]
[Patient’s Address]
[Patient’s Phone Number]
[Patient’s Email Address]
From:
[Name of the Doctor]
[Doctor’s Medical Practice]
[Practice Address]
[Practice Phone Number]
[Practice Email Address]
Date:
[Date of Issuance]
Subject:
Medication Travel Authorization for [Destination Country]
Introduction:
This letter is to certify that the above-named patient requires necessary medications during their travel to [Destination]. This letter outlines the medications prescribed, along with pertinent information to ensure safe travel.
Medication Details:
The patient has been prescribed the following medications:
  • [Medication Name 1] – [Dosage] – [Frequency]
  • [Medication Name 2] – [Dosage] – [Frequency]
  • [Medication Name 3] – [Dosage] – [Frequency]
Storage and Handling Instructions:
It is crucial that the medications are stored at [Specify Storage Conditions, e.g., room temperature or refrigeration] to maintain their efficacy.
Emergency Contact:
Should any issues arise during travel, please contact [Alternative Doctor/Pharmacy Name] at [Contact Number].
Legal Disclaimer:
This letter serves as a formal document to facilitate the carrying of the mentioned medications through customs and should be presented along with the medications.
Signed:
[Signature of the Doctor]
[Name of the Doctor]
[Medical License Number]
Medication Travel Letter Template UK (2)
Issued to:
[Name of the Patient]
[Patient’s Date of Birth]
[Patient’s Address]
[Patient’s Phone Number]
[Patient’s Email Address]
From:
[Name of the Doctor]
[Doctor’s Medical Practice]
[Practice Address]
[Practice Phone Number]
[Practice Email Address]
Date:
[Date of Issuance]
Subject:
Travel Authorization for Medications for [Destination Country]
Overview:
This document certifies that [Name of the Patient] requires the prescribed medications during their travel to [Destination]. Adhering to this guidance will help avoid any complications while traveling.
List of Prescriptions:
The following medications have been prescribed to the patient:
  • [Medication Name A] – [Dosage] – [Frequency]
  • [Medication Name B] – [Dosage] – [Frequency]
  • [Medication Name C] – [Dosage] – [Frequency]
Instructions for Use:
These medications should be taken as directed to manage the patient’s condition effectively. Please keep medications in original packaging and present this letter at customs.
Pharmacy Contact Information:
For any queries, please reach out to [Pharmacy Name] at [Pharmacy Phone Number].
Disclaimer Notice:
This letter is to be used solely for the purpose of carrying prescribed medications and does not constitute a prescription for any additional medications.
Signed:
[Signature of the Doctor]
[Name of the Doctor]
[Medical License Number]

Printable

PDF – 1 PDF – 2

Medication Travel Letter Template UK