You must download our forms to fill them in. We have help available if you use assistive technology or if you need a translator or interpreter. Find out how to use our forms.
Download and complete the COVID-19 Vaccine Claims Scheme medical report.
A health professional needs to complete this form so you can submit it with your claim. Find out more about the COVID-19 Vaccine Claim Scheme.
Before you complete this form, check if you or the person you’re claiming for are eligible under the scheme and what proof you need.