COVID Vaccinations

Consent form for COVID-19 vaccination

People who have a COVID-19 vaccination have a much lower chance of getting sick from the disease called COVID-19.

The COVID-19 vaccination is free. You choose whether to have the vaccination or not.

To be vaccinated you will get a needle in your arm. You need to have the vaccination two times on different days. There are different brands of vaccine. You need to have the same brand of vaccine both times. The person giving you your vaccination will tell you when you need to have the second vaccination.

Medical experts have studied COVID-19 vaccines to make sure they are safe. Most side effects are mild and don’t last for long. As with any vaccine or medicine, there may be rare and/or unknown side effects.

You can tell your healthcare provider if you have any side effects like a sore arm, headache, fever or any other side effect you are worried about. You may be contacted by SMS within the week after receiving the vaccine to see how you are feeling after vaccination.

Some people may still get COVID-19 after vaccination. So you must still follow public health precautions as required in your state or territory to stop the spread of COVID-19 including:

  • keep your distance – stay at least 1.5 metres away from other people
  • washing your hands often with soap and water, or use hand sanitiser
  • wear a mask, if your state or territory has advised that you should
  • stay home if you are unwell with cold or flu-like symptoms and
    arrange to get a COVID-19 test.

Vaccination providers record all vaccinations on the Australian
Immunisation Register, as required by Australian law. You can view your
vaccination record online through your:

  • Medicare account
  • MyGov account
  • MyHealthRecord account.

How is the information you provide at your appointment used

For information on how your personal details are collected, stored and used visit https://www.health.gov.au/covid19-vaccines.

On the day you receive your vaccine

Before you get vaccinated, tell the person giving you the vaccination if you:

  1. Have any allergies, particularly anaphylaxis (a severe allergic reaction) to a previous dose of a COVID-19 vaccine, to an ingredient of a COVID-19 vaccine, or to other vaccines or medications. An allergy is when you come near or in contact with something and your body reacts to it and you get sick very quickly. This may include things like an itchy rash, your tongue getting bigger, your breathing getting faster, you wheeze or your heart beating faster.
  2. If you are immunocompromised. This means that you have a weakened immune system that may make it harder for you to fight infections and other diseases. Sometimes a disease like diabetes or cancer can cause this or certain medicines or treatments you take, such as medicine for cancer.

COVID Consent Form

Make a Booking with us today (08) 9387 2000

Ideally located for residents of Wembley and surrounding suburbs including Wembley Downs, Churchlands, City Beach, Doubleview, Scarborough, West Perth, Leederville, West Leederville, Subiaco, Mt Claremont, Daglish, Karrinyup, East Perth and Nedlands and Perth.