Immunisation medical exemptions

Providing immunisation medical exemptions

The following groups can provide immunisation medical exemptions:

• general practitioners (GP) registered as a specialist in General Practice with the Medical Board of Australia
• vocational registered GPs who have general registration with the Medical Board of Australia
• general practice registrars on an approved 3GA training placement
• paediatricians
• public health physicians
• infectious diseases physicians
• clinical immunologists.

Other health professionals are not eligible to certify medical exemptions.

Reasons for immunisation medical exemptions

Doctors must give us a valid medical reason for a medical exemption.

The Department of Health and Aged Care’s Australian Immunisation Handbook lists valid medical reasons for immunisation medical exemptions.

The valid reasons for immunisation medical exemptions are either:

• medical contraindication – use the Australian Immunisation Handbook guidelines to help you decide if a patient should be exempt
• natural immunity – if your patient doesn’t need a vaccine because they have a natural immunity to the disease they don’t need to get that vaccine to be considered up to date with their vaccinations.

There are only 2 absolute medical contraindications that apply to all vaccines:

• anaphylaxis following a previous dose of the relevant vaccine
• anaphylaxis following any component of the relevant vaccine.

These are not valid medical reasons for an immunisation medical exemption:

• mild illness without fever – temperature below 38.5ºC
• family history of any adverse events following immunisation
• past history of convulsions
• treatment with antibiotics
• treatment with locally acting steroids – inhaled or low-dose topical steroids
• replacement corticosteroids
• asthma, eczema, atopy, hay fever or ‘snuffles’
• previous infection with the same pathogen
• prematurity – vaccination shouldn’t be postponed and can be given if the infant is medically stable
• history of neonatal jaundice
• low weight in an otherwise healthy child
• neurological conditions, including cerebral palsy and Down syndrome
• contact with an infectious disease
• child’s mother is pregnant
• child is being breastfed
• woman is breastfeeding
• recent or imminent surgery
• poorly documented vaccination history.

For more information check the Australian Immunisation Handbook (Table 2.1.4).

Recording immunisation medical exemptions on the Australian Immunisation Register (AIR)

Eligible doctors can tell us about a medical contraindication or natural immunity by:

• recording it online on the AIR site
• using the Australian Immunisation Register - Immunisation medical exemption form, which includes all the information needed to process the medical exemption.

Eligible doctors must identify:

• the medical contraindication
• which vaccines your patient can’t have
• if the contraindication is temporary or permanent, or
• which vaccines aren’t needed due to natural immunity.

If a patient has a valid immunisation medical exemption recorded on the AIR, it will display on their Immunisation History Statement.

Parents and guardians may use the medical exemption to meet immunisation requirements for some family assistance payments and child care or school enrolment.

An incomplete, invalid or unsigned notification will be returned to you.

Giving false or misleading information is a serious offence under the Criminal Code Act 1995 (Cth). We regularly undertake audits and make enquiries to make sure people get correct payments. If we become aware of any false or misleading information or fraudulent activity, the Commonwealth will pursue the relevant person(s) to the extent permitted by law.

Read more about the Australian Immunisation Register for Health Professionals