Get Immunisation History Form

Filling out the immunisation history form accurately is essential for maintaining updated records of an individual's vaccinations. This guide provides a detailed walkthrough on how to complete the form online, ensuring you have all the necessary information at hand.

Follow the steps to complete your immunisation history form.

1. Click ‘Get Form’ button to obtain the immunisation history form and open it in your online editor.
2. Begin with Part A, where you will need to enter the individual's details, including their Medicare number, family name, first name, date of birth, and address.
3. Move on to Part B to document immunisation details. Only list immunisations not already recorded on the Australian Immunisation Register (AIR). If you are unsure of a vaccine brand, write its generic terms in the 'Other (please specify)' section.
4. If the vaccinations were administered overseas, indicate this in the relevant column. Provide the generic vaccine name if the specific brand is unknown.
5. For individuals who are overdue for vaccines and have planned a catch-up schedule, be sure to tick the designated box in Part B.
6. Next, complete Part C, which requires a recognised vaccination provider to fill in their details, including their Medicare provider number or AIR registration number. The provider must sign the declaration to verify the information is accurate.
7. Review the completed form to ensure all necessary fields are filled out, the declaration is signed, and the document is dated.
8. Once satisfied, you may save your changes, download, print, or share the form as necessary.

Complete your immunisation history form online today for accurate health records.