Australian Immunisation Register immunisation history form (IM013)

Use this form only if a patient's immunisation history in the AIR is not complete and another vaccination provider performed the service.

Aged care online

This form can be completed online. Read more about Aged care online.
This PDF is fillable. Download this form and complete it on your device, or print it and complete it by hand.

Page last updated: 20 October 2016

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