The Australian Immunisation Register (AIR) is a national register administered by Medicare that records all vaccinations given in Australia, including to children.

Your service will probably already be familiar with the Immunisation History Statements issued by the AIR.

View an example of an AIR Immunisation History Statement

Most parents/carers seeking to enrol their child at your service are likely to provide this document as evidence of up-to-date vaccination.

Parents/carers must provide a copy of their most recent AIR Immunisation History Statement, which shows that the child is up to date with their immunisations.

Parents/carers can request a copy of their child's statement at any time from AIR.

Medical exemption to vaccines

Only an authorised medical practitioner (see note) can determine if a child has a medical reason (for example, an anaphylactic reaction to a vaccine ingredient) for not receiving a specific vaccine. This is known as a medical contraindication and means that the person is exempt from having that vaccine.

In the case of medical contraindication, the practitioner completes and signs a Medical Exemption Form, and supplies it to the AIR.

The AIR updates the child’s records and, on request from the parent/carer, will issue an Immunisation History Statement.

If a child has a medical exemption to a vaccine then the statement will not show that the child is due or overdue to have that vaccine.

In order to confirm enrolment, the statement must show the child is up to date with the vaccines they can have, and indicate the due date for the next vaccinations the child is able to receive in the future (if applicable).

Download an example of an Immunisation History Statement showing a medical exemption

Note: An authorised medical practitioner is defined by the Commonwealth Government as a general practitioner (GP with the letters FRACGP or FACRRM after their name) who is vocationally registered, or a fellow of the Royal Australian College of General Practitioners (RACGP), or Australian College of Rural and Remote Medicine (ACRRM), paediatrician, public health physician, infectious disease physician, or clinical immunologist.