Get Au Pharmacy Guild Consumer Vaccination Pre-screening/consent & Recording Form 2019-2026

Completing the AU Pharmacy Guild Consumer Vaccination Pre-Screening/Consent & Recording Form online is an important step in ensuring a safe vaccination experience. This guide provides a detailed walkthrough to help you accurately fill out the form with confidence.

Follow the steps to complete the form effectively.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering the pharmacy details, like the unique reference number if applicable. This information is essential for tracking the vaccination process.
3. In the ‘Personal Details’ section, provide the individual’s full name, address, email, contact phone number, Medicare number, and date of birth. Be sure to accurately enter these details as they are crucial for identification and record-keeping.
4. Optionally, fill in the ‘Primary Medical Practitioner’ details, including their name, phone number, address, and email. This information is important if the immuniser needs to contact their doctor.
5. Move to the ‘Pre-Vaccination Screening Checklist’ and indicate any relevant health conditions or situations that apply to the individual being vaccinated. This section is critical for ensuring the person’s safety during vaccination.
6. In the ‘Consent to Receive Immunisation’ section, read through the provided information regarding the vaccine and its possible side effects. There are fields to consent to receiving the vaccine and a signature space for acknowledgment.
7. Fill out the ‘Record of Immunisation’ section, which is for immuniser use. This part includes fields for recording the date, time, vaccine brand, injection site, and any adverse events experienced.
8. At the end of the form, ensure all required fields have been filled accurately. Review the information for completeness and correctness before proceeding.
9. Finally, save your changes, and download or print the form if necessary. You might also choose to share it with the relevant medical practitioners if required.

Complete your forms online today for a smooth vaccination process.