Australian Childhood Immunisation Register (ACIR) - Immunisation medical exemption form (IM011)

Use this form if you are a general practitioner and would like to notify a child's vaccination exemption due to a medical contraindication or natural immunity.

 

Page last updated: 9 June 2016

This information was printed Sunday 24 July 2016 from humanservices.gov.au/health-professionals/forms/im011 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.