Australian Childhood Immunisation Register (ACIR) - Application to Register as a Vaccination Provider form (IM004)

This form is for vaccination providers (other than general practitioners) to register with the ACIR before sending immunisation data.

 

Page last updated: 5 February 2016

This information was printed Sunday 25 September 2016 from humanservices.gov.au/health-professionals/forms/im004 It may not include all of the relevant information on this topic. Please consider any relevant site notices at humanservices.gov.au/siteinformation when using this material.