Forms for Australian Immunisation Register (AIR) 011-10150000
Expand allAIR forms and descriptions
Table 1
Form | Details |
AIR - application to register as a vaccination provider form (IM004) | Used to register vaccination providers who do not have a Medicare provider number. For example, councils, community health centres, pharmacies and Aboriginal health workers. See also: |
AIR - bank account details form (IM005) | Used by vaccination providers to notify the AIR of their bank account details for payment. See also: Australian Immunisation Register (AIR) - bank account details for vaccination providers form (IM005) |
AIR - immunisation medical contraindication or natural immunity form (IM011) | Used by eligible medical practitioners to record details of vaccines that an individual cannot be given due to medical reasons or natural immunity. Immunisation medical contraindication can be temporary or permanent. See also: |
AIR - immunisation history form (IM013) | Used by vaccination providers to send immunisation information to the AIR when another provider gave the immunisation, including vaccines given overseas. See also: |
| AIR – ceasing correspondence and release of information from (IM017) | Used by customers to advise the AIR that they want to stop receiving AIR correspondence and/or share vaccination information with third parties, including vaccination providers. See also: |
AIR - immunisation encounter form (IM018) | Used by vaccination providers to send information to the AIR about vaccinations they have given. See also: |
AIR forms - troubleshooting and standard comments for the Provider Directory System
Table 2
Situation | Action | Service Officer Standard Comments for PDS | Local Peer Support (LPS) Standard Comments for PDS |
Provider has online access | Service Officer to step the provider through how they can access forms online. | Not applicable | Not applicable |
Provider has online access but has given a valid reason why they cannot currently access online options, for example, in process of installing new computer systems or natural disaster affected. | Service Officer to:
LPS to:
| Form request: Service Officer (Provider# & contact#) education provided - provider unable to go online. Escalated to LPS. | Form request: LPS confirmed online capable. Escalated to AIR Business Development Officer (AIR BDO) to contact to address barriers to access (provider# & contact#) |
Provider is online capable however wishes to escalate further as unhappy stationery orders are no longer available. | Service Officer to:
If the provider wishes to escalate:
LPS to:
| Form request: Service Officer (Provider# & contact#) Provider unhappy re. cessation stationery order forms. Escalated to LPS. | Form request: LPS spoke with practice, issue resolved or Paper form request: (Date) reviewed request details, have escalated to AIR BDO for action. |
Provider is a fully manual practice, which is they have no online access or no intention of using online channels to self-service. | Service Officer to:
If the provider insists you print a form for them:
LPS to:
| Form request: Service Officer (Provider# & contact#). Location not online capable. Escalated to LPS. | Form request: LPS confirmed not online capable. Escalated to AIR BDO to contact (provider# & contact#) regarding statement access. |
AIR forms and signature requirements
Table 3
Form | Signature requirements |
| AIR - application to register as a vaccination provider form (IM004) | Fillable PDF with physical signature. Cannot digitise due to State and Territory approval process. |
| AIR - bank account details for vaccination providers form (IM005) | Fillable PDF with physical or digital signature. |
| AIR - immunisation medical contraindication or natural immunity form (IM011) | Fillable PDF with physical or digital signature. |
| AIR - immunisation history form (IM013) | Fillable PDF with electronic tick box (electronic). |
| AIR - ceasing correspondence and release of information form (IM017) | Fillable PDF with physical signature. |
| AIR - immunisation encounter form (IM018) | Fillable PDF with electronic tick box (electronic). |