The Australian Immunisation Register - Immunisation medical exemption form (IM011) is the only approved form in NSW to provide evidence of a medical contraindication to COVID-19 vaccination.
These are supporting documents for the NSW Health Policy Directive PD2022_040 - Standard operating procedure for administration of COVID-19 vaccines in NSW vaccination clinics (updated 2 September 2022).
COVID-19 vaccine administration system downtime form
From 25 February 2022, the Australian Immunisation Register - immunisation medical exemption form (IM011) is the only approved form in NSW to provide evidence of a medical contraindication to COVID-19 vaccination.
The NSW COVID-19 vaccine medical contraindication form is no longer valid from 25 February 2022. A NSW COVID-19 vaccine medical contraindication form issued by a medical practitioner to a person before this date remains valid.
ATAGI has provided Guidance on temporary medical exemptions for COVID-19 vaccines for medical practitioners which covers the completion of the Australian Immunisation Register - Immunisation medical exemption form (IM011).
If a person has had COVID-19 and has fully recovered, there is no need to delay vaccination.
Medical practitioners should consult the latest ATAGI clinical guidance for further information on medical contraindications.
Serious adverse events following immunisation (AEFI) are notifiable conditions in NSW. Healthcare providers are required to report any serious AEFI to NSW Health and the Therapeutic Goods Administration. More information is available on Adverse events following immunisation (AEFI).
Training modules are available for clinical staff including:
