Australian Childhood Immunisation Register (ACIR) forms
- Application to register as an immunisation provider [PDF, 87Kb]
- for immunisation providers (other than general practitioners) to register with the ACIR before sending immunisation data. - Payment account details for immunisation providers [PDF, 135Kb] - for general practitioners to receive payment for immunisation data sent to the ACIR and other immunisation providers to update their bank account or credit union details recorded on the ACIR.
- Immunisation history form [PDF, 79Kb] - for reporting immunisation details to the ACIR when another immunisation provider performed the vaccination service.
- Immunisation encounter form [PDF, 74Kb] - for reporting immunisation details to the ACIR when you performed the vaccination service.
- Immunisation encounter header form [PDF, 68Kb] - for identifying the immunisation provider who peformed the vaccination service (used in conjunction with the Immunisation encounter form).
- Stationery order form for NT & QLD [PDF, 39Kb] - for Northern Territory and Queensland immunisation providers to order immunisation stationery.
- Stationery order form [PDF, 86Kb] - for immunisation providers, excluding those in the Northern Territory and Queensland, to order immunisation stationery.
- Medical contraindication form [PDF, 137Kb] - for recording a reason why a vaccine should not be given to a child.
- Conscientious objection form [PDF, 132Kb] - for recording a parent or guardian's conscientious objection to their child being immunised.
Some documents on this page may require the free Adobe PDF reader.
Last updated: 15 September, 2008