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  • Au Eha D18/10546 2019

Get Au Eha D18/10546 2019-2026

Office Use Only: Client number: Postcode: Council: Number of Vaccines: School or workplace absentee Fee or NonEHA Client or non medicare:$ Immunisation Consent Child under 10 years old *PLEASE PRINT.

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How to fill out the AU EHA D18/10546 online

Filling out the AU EHA D18/10546 online ensures that you properly document immunisation consent for children under 10 years old. This guide will provide you with a clear, step-by-step process to assist you in completing the form with confidence.

Follow the steps to effectively complete the AU EHA D18/10546 online.

  1. Press the ‘Get Form’ button to access the AU EHA D18/10546 form and open it in your preferred online editor.
  2. In the 'Office Use Only' section, provide your client number, postcode, council, and the number of vaccines required. Indicate if this is a school or workplace absenteeism situation, and specify if you are a fee-paying or non-EHA client who is not registered with Medicare.
  3. For immunisation consent, print clearly using block letters. Enter the family name as per the Medicare card, followed by the first name and middle initial. Input the date of birth and age of the person being immunised.
  4. Select the appropriate gender by ticking the respective box. Fill in the address, suburb, postcode, council area, phone or mobile number, and email address.
  5. Enter the Medicare number and reference number. If you do not possess a Medicare card, ensure a fee payment is made before the vaccination.
  6. Review and tick the pre-vaccination checklist carefully. Indicate 'yes' or 'no' for each question to ensure accurate health information is provided prior to vaccination.
  7. Acknowledge that you have read and understood the pre-vaccination checklist by confirming with a signature and providing the date. Record the name of the person giving consent and their relationship to the individual receiving the vaccine.
  8. Select the vaccines required by ticking the corresponding boxes next to each vaccine listed. This section includes the type of vaccine according to ages and requirements.
  9. Complete the section for office use only by filling in the batch number, site, and dose of the administered vaccine.
  10. Lastly, save your changes and explore options to download, print, or share the completed form as necessary.

Start filling out the AU EHA D18/10546 online today to ensure timely immunisation for your child.

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