Resources - Immunisation Resources
Immunisation Resources
Program Manager Anne Vail - Phone: (02) 6884 0197
Immunisation Schedule
Immunisation Handbook
GP Vaccine Order Form
GP Influenza Vaccine Order Form 09
GP Pertussis Vaccine Order Form 09
General Practice Immunisation Incentive (GPII) Scheme
GPII Practice Report (GPII020A) Request form (143k)
Agreement under Section 46E(2) of the Health Insurance Act 1973 (122k)
Application to Register as an Immunisation Provider (9k) - Immunisation Providers must register with the Immunisation Register before sending immunisation data. Public Sector providers must complete this form and forward it to their State/Territory Health Department for approval. General practitioners are automatically registered with the Immunisation Register when they receive their Medicare Provider Number.
Payment Account Details for Immunisation Providers (143k) - General practitioners must complete this form to receive payment for immunisation data sent to the Immunisation Register. Other immunisation providers may update their bank account or credit union details recorded on the Immunisation Register using this form.
Immunisation history form (59k) - used to report immunisation details to the ACIR when another immunisation provider performed the vaccination service.
Stationery Re-order form (128k) - all States and Territories, excluding Northern Territory and Queensland, should use this form to order immunisation stationery.
Application to Transmit Immunisation Data Electronically (8k) - must be completed before immunisation data will be accepted via Electronic Data Interchange (EDI).
Medical Contraindication form (179k) - used by recognised immunisation providers if there is a reason why a vaccine should not be given to a child.
Conscientious Objection form (178k) - used to record a parent's conscientious objection to their child being immunised. This form must be completed by a parent or guardian together with the immunisation provider and sent to the Immunisation Register.