Request for review of Immunisation Records

Required fields are marked with an asterisk (*).

School Immunisation Records

For students enrolled in Year 8 during or prior to 2016.

Personal Details

Firstname

Surname

Mobile Enter your mobile number without spaces

Home phone Enter your mobile number without spaces

Work phone Enter your mobile number without spaces

Address line 1

Address line 2

Postcode Enter your postcode without spaces

Suburb

Medicare Number *

School Immunisation Records

Primary School Attended

High School Attended

Please advise the years attended high school

Please Note:

The Berri Bamera Council Immunisation Team will endeavour to enter your school immunisation history in the AIR within 5 working days of receipt of the request.