Immunisation Consent form

School / Vaccination Codes
Please enter the code on the vaccination letter / SSMS / Email from the school

Please note this form is for a single child, if you have multiple children that require consent please submit a separate form for each. The provided code will be valid for all needed submissions for a given school and vaccination.

Further Information about the vaccinations
Please be aware that this system is used for multiple different vaccinations, the code provided will automatically direct you to the correct form.
the following information will be provided on the form itself but is also provided here for your convenience.
If you are visiting this system for the HPV (Human Papillomavirus) Vaccination the letter and information can be found below.
If you are visiting this system for the School Booster (Tetanus, Diphtheria and Polio boosters (3 in 1 teenage booster) and Meningitis ACWY) the letter and information can be found below.
If you are visiting this system for the School Flu Vaccination the letter and information can be found below.