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Australian Immunisation Register (AIR) - immunisation history form (IM013)
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More than 3 Polio doses before 3.5 years of age
This section explains how to record more than 3 doses of polio given to children under 3.5 years of age.
If a child under 3.5 years of age has more than 3 polio does recorded on the form, record:
- the first 3 doses as 1, 2, 3
- any additional doses as duplicate dose 3 and C and Y each one
If a polio dose was given at birth, or within 7 days after birth, record:
- the birth dose as dose 1 and C and Y
- the next dose, where the child is under 1.5 to 2 months old, also as dose 1 and C and Y
- remaining doses as 2, 3, 3 etc and C and Y
If unsuccessful, escalate to AIR Local Peer Support (LPS)
Actions for incomplete immunisation history form IM013
Service Officers must include any action taken in a processing note in PaNDA, as per Workload Management (WLM) processing guidelines. See Work Optimiser for staff.
Circumstance | Action |
Medicare card and reference number missing or IHI number missing | Use name, date of birth and postcode or address search to identify the customer in CDMS, mainframe or the AIR Service Officer Portal. |
Customer's personal details missing | Return the form if any of the following details are missing: - First name and Surname (unless only name)
- Date of birth
- Address
Note: gender is not mandatory |
Aboriginal or Torres Strait Islander status indicator not completed | No action required. This section is not mandatory and requires parental/customer consent to report. The form can be processed. |
Hepatitis B birth dose not completed | No action required. This section is not mandatory and may have already been reported. The form can be processed. |
Vaccination details section - Part B | Section B - Vaccination details Return the form if: - vaccines or doses unclear or
- dates are incomplete
- not legible
|
Batch number, vaccine type or route of administration not completed | No action required. This section is not mandatory when reporting vaccines given by another provider or overseas The form can be processed. |
Multiple provider numbers supplied | Return the form. |
Vaccination details and Declaration date not completed in full | Return the form if any of the following is missing: - check box acknowledging the declaration is not ticked
- date missing - the declaration at Part C must be dated
- provider details missing
Note: if the provider used a stamp to complete the provider’s name and number, this can be accepted |
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