Use the Australian Immunisation Register Application to Register as a Vaccination Provider if you are an individual or organisation wanting to register as a vaccination provider and obtain a registration number for the purposes of sending immunisation data to the Australian Immunisation Register (AIR).
If you are a pharmacist, please also complete and submit the NSW Pharmacist application to register as a vaccination provider with the Australian Immunisation Register.
Immunisation Unit
Health Protection NSW
Locked Bag 2030
ST LEONARDS NSW 1590
If you are a general practitioner with a registered Medicare provider number, you do not need to complete this form. You can use your Medicare provider number to submit data to the AIR.