Appendix 1: Exemption from the requirement for an International Certificate of Vaccination

Where a physician advises that an adult, or infant, should not be vaccinated on medical grounds this should be written on headed writing paper which will be taken into consideration by the port health authorities in the destination country. The advice has often been given to check the acceptability with the UK Embassy or High Commission of that country, although in practice not all Embassies are able to guarantee the attitude of individual port health officials. However if the Embassy provides a letter accepting the exemption certificate this could be helpful on entry.


Re: Name _____________________________________________________________________




This is to certify that on medical grounds I advise that ___________________________ vaccine is contraindicated in the above named person and should not therefore be given.

Date _________________________________________________________________________

Signed _______________________________________________________________________

Print name ____________________________________________________________________