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Immunisation verification form

Immunisation verification form 2026

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The document outlines the essential immunisation requirements for students seeking admission to clinical placements at Federation University. It includes instructions for completing the Immunisation Verification Form, details on privacy compliance, and a declaration by the applicant regarding their health information. The form requires documentation of various vaccinations and serological tests, including those for Diphtheria, Tetanus, Pertussis, Varicella, Hepatitis B, Measles, Mumps, Rubella, and Influenza. Students must ensure they meet these health requirements to be eligible for placement.

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Click ‘Get Form’ to open it in our editor.
Begin by entering your personal details, including your name, student ID, and date of birth in the designated fields.
In the 'Applicant Declaration' section, read through the consent statement carefully. Ensure you understand your responsibilities regarding immunisation costs and compliance before signing.
For the 'Evidence of Immunisation' section, provide dates for each vaccination as required. Attach any necessary serological reports and immunisation records directly within our platform.
Complete the 'Doctor/Registered Nurse Instructions' by ensuring all sections are filled accurately. The healthcare provider must sign off on your immunisation status.
Review all entries for accuracy before submitting the form back to your healthcare provider or relevant placement agency.

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Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What is considered an immunization?

Immunization is the process whereby a person is made resistant to a disease, typically by the administration of a vaccine. Vaccines stimulate the bodys own immune system to protect the person against subsequent infection or disease.

What are immunization documents?

Vaccination records (sometimes called immunization records) provide a history of all the vaccines you or your child received. This record may be required for certain jobs, travel abroad, or school registration. Adult Vaccination Records.

What is the meaning of immunization?

Vaccines help protect against many diseases that used to be much more common. Examples include tetanus, diphtheria, mumps, measles, pertussis (whooping cough), meningitis, and polio. Many of these infections can cause serious or life-threatening illnesses and may lead to life-long health problems.

How can immunization records best be verified?

There are two ways to verify immunization history: Vaccination records from health care providers: Confirm when, where and by whom certain vaccines were administered. When these records are unavailable: Results of a blood titer test can provide the documentation that a school or workplace may need.