COVID-19 vaccination: Information for clinicians in NSW

The Australian Immunisation Register -immunisation medical exemption form (IM011) is the only approved form in NSW to provide evidence of a medical contraindication to COVID-19 vaccination.

Information for healthcare workers who are receiving a COVID-19 vaccine is available on Occupational assessment screening and vaccination - FAQ.

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Australian Technical Advisory Group on Immunisation guidance

Contraindication form

The Australian Immunisation Register - Immunisation medical exemption form (IM011) is the only approved form in NSW to provide evidence of a medical contraindication to COVID-19 vaccination.

The NSW COVID-19 vaccine medical contraindication form is no longer valid from 25 February 2022. A NSW COVID-19 vaccine medical contraindication form issued by a medical practitioner to a person before this date remains valid.

ATAGI has provided Guidance on temporary medical exemptions for COVID-19 vaccines for medical practitioners which covers the completion of the Australian Immunisation Register - Immunisation medical exemption form (IM011).

If a person has had COVID-19, vaccination should be deferred for 3 months after a confirmed infection. A longer gap between infection and vaccination is likely to lead to a better immune response and result in longer protection from reinfection.

Medical practitioners should consult the latest ATAGI clinical guidance for further information on medical contraindications.

Recording a medical contraindication to COVID-19 vaccines in the Australian Immunisation Register

The Australian Immunisation Register - Immunisation medical exemption form (IM011) permits the recording of a temporary or permanent contraindication to any or all COVID-19 vaccines available for use in Australia.

The AIR immunisation medical exemption form is recognised as an acceptable form for recording a medical contraindication to COVID-19 vaccination in NSW.

For NSW Health workers and as specified in PD2022_030 Occupational Assessment, Screening and Vaccination Against Specified Infectious Diseases, to be considered exempt from the requirement to be vaccinated against COVID-19, a temporary or permanent contraindication to all available COVID-19 vaccines must be present.

Guidance for medical practitioners on recording immunisation medical exemptions on the AIR is available from the Australian Government Department of Health.

Adverse events following immunisation

Serious adverse events following immunisation (AEFI) are notifiable conditions in NSW. Healthcare providers are required to report all uncommon, serious or unexpected AEFI or any event felt to be significant following immunisation to their local Public Health Unit. More information is available on Adverse events following immunisation (AEFI).

Frequently asked questions

Will I still need to wear PPE at work and follow the COVID safe rules in my daily life?

It is essential that all healthcare workers maintain vigilance for COVID-19 and ensure they continue to follow infection prevention and control measures at work and COVID safe behaviours in their daily lives.

You will still need to be tested if you become sick with symptoms that could be caused by COVID-19.

Is COVID-19 vaccination mandatory for people working for NSW Health?

Yes. Under PD2022_030 Occupational Assessment Screening and Vaccination Against Specified Infectious Diseases, all NSW Health workers are required to have received at least 2 doses of a COVID-19 vaccine and Category A workers are required to have three doses of a COVID-19 vaccine to work or be employed in connection with an NSW Health agency. Refer to the Occupational assessment screening and vaccination – FAQs for further information.

Disability workers and aged care workers working in NSW Health agencies are also covered by different public health orders and therefore may have additional requirements.

More information


Current as at: Friday 19 August 2022
Contact page owner: Health Protection NSW