188.8.131.52 CCS - immunisation approved exemptions
A recognised immunisation provider (1.1.R.09) may include:
- a general practitioner that is vocationally registered, or a fellow of the Royal Australian College of General Practitioners (RACGP), or Australian College of Rural and Remote Medicine (ACRRM)
- a paediatrician
- a public health physician
- an infectious diseases physician, or
- a clinical immunologist.
Approved exemptions from immunisation
The following table shows the circumstances when a person (1.1.P.80) should be treated as exempt from the immunisation requirements for the purposes of CCS. Any evidence that an individual must supply is listed in the second column of the table.
To update the Australian Immunisation Register (AIR), individuals must take evidence to a recognised immunisation provider who will update the AIR, if appropriate.
|Exemption circumstance||Evidence required|
|A recognised immunisation provider must certify in writing on the approved Australian Immunisation Register (AIR) Immunisation medical exemption form (IM011 PDF, 162kB) that immunising the child would be medically contraindicated under the specifications set out in the current Australian Immunisation Handbook.|
A recognised immunisation provider must certify in writing on the approved Australian Immunisation Register (AIR) Immunisation medical exemption form (IM011) that the child does not require immunisation because the child has acquired a natural immunity as a result of contracting a disease or diseases.
Generally, a natural immunity exemption will only be applied to a specific antigen (not the whole schedule). A natural immunity exemption should be applied for life (based on the clinical assessment of a recognised immunisation provider).
|Approved vaccine study||A child is a participant in a vaccine study. A signed letter from the researchers must be provided which verifies that the child is a participant of a vaccine study, and evidence that the study is approved by a Human Research Ethics Committee registered with the National Health and Medical Research Council.|
|Temporary unavailability of vaccine||The Commonwealth Chief Medical Officer must certify in writing that a vaccine, or all vaccines are temporarily unavailable.|
|Child vaccinated overseas||A child who was vaccinated in another country meets the immunisation requirements if a recognised immunisation provider completes and signs the Australian Immunisation Register immunisation history form (IM013 PDF, 215kB) for the vaccines administered overseas and provides a signed letter detailing the vaccines received.|
Refusal of consent to vaccination:
Risk of family violence (1.1.F.15):
Permanent humanitarian visa holder:
Note: The individual may also have evidence that they intend to have their child immunised or put on a catch up schedule according to the current Australian Immunisation Handbook (e.g. evidence of an appointment with a recognised immunisation provider).
Child would be at increased risk (1.1.A.110) of serious abuse or neglect:
Unacceptable risk of harm to the child or a person administering the vaccination
Note: A recipient (1.1.R.07) can seek referral to a listed medical practitioner through a general practitioner or a state or territory health department.
Act reference: FAAct section 4 Minister's power to make determinations for the purposes of the definition of immunised, section 6 Immunisation requirements
Policy reference: FA Guide 1.2.1 Family tax benefit (FTB) - description, 1.2.6 Child care subsidy (CCS) - description, 184.108.40.206 CCS immunisation requirements, 220.127.116.11 Immunisation - approved exemptions (FTB), 2.6.1 CCS eligibility