Australian Immunisation Register (AIR) - immunisation medical exemption form (IM011)

Use this form if you don’t have access to the AIR site or software. You can use it to record an individual’s immunisation medical exemption.

You must download our forms and fill them in so they are processed quickly. You can also electronically sign some of our forms. We have help available if you use assistive technology.

If you’re an eligible health professional (or their HPOS delegate), you can quickly update medical exemptions by using either:

  • the AIR site using HPOS (you’ll need an individual PRODA account)
  • vaccination reporting software.

If you need help linking your HPOS account to AIR, call the AIR Internet helpdesk. For help with PRODA, call the PRODA helpdesk.

If you’re unsure whether your software can transmit medical exemptions, contact your software developer.

If you submit an immunisation medical exemption using the form upload function in HPOS Messages:

  • it must be lodged using the HPOS account of the health professional who signed the form, or their nominated HPOS delegate
  • it can take up to 14 days to update an individual’s AIR record
  • we may contact you to confirm the details.

Download and complete the Australian Immunisation Register (AIR) - immunisation medical exemption form.

Only eligible health professionals can use this form. You are eligible to use this form if you’re a:

  • general practitioner, as defined in the Health Insurance Act 1973
  • practice registrar on an approved 3GA training placement
  • paediatrician
  • public health physician
  • infectious diseases physician
  • clinical immunologist.

ATAGI clinical advice

The Department of Health and Aged Care website provides Australian Technical Advisory Group on Immunisation (ATAGI) Expanded Guidance on temporary medical exemptions for COVID-19 vaccines.

Page last updated: 23 July 2024.
QC 21636