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General Practitioner Form

Immunisation Register (IM011.1609)

A downloadable General Practitioner form for healthcare professionals.
Auto-fill with HeidiBrowse templates

Specialty

General Practitioner

Downloads

7 times

Type

Form

Last edited

13/11/2025

Created by

Lachlan Reid

Auto-fill with Heidi

About this form

Used by general practitioners and authorised health professionals to notify the Department of Human Services when an individual has a valid medical contraindication or natural immunity that exempts them from vaccination. It records the reason for exemption, applicable vaccines, and evidence such as clinical diagnosis or laboratory results. Heidi automatically pre-fills the patient’s details and relevant clinical information from the consultation, helping clinicians complete accurate exemption notifications quickly and in compliance with national immunisation requirements.

Preview form

Auto-fill with Heidi

How to use this form

1

Auto-fill with Heidi

Click "Auto-fill Form with Heidi" to open the form in Heidi and complete the fields straight from your note, no copying and pasting.

2

Review and edit

Check the pre-filled details and make any changes before finalising the form.

3

Download or save

Download the completed form or save it directly into your patient records and workflows.

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