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One Day Workshop Refresher for Authorised Immunisation Healthcare Providers

Please complete this form to apply for the One Day Workshop Refresher for Authorised Immunisation Healthcare Providers. Your application will be reviewed to confirm eligibility before enrolment.

You will be asked to provide:

• Your current AHPRA registration

• Evidence of an approved Immunisation Certificate (or equivalent experience)

• Or supporting documents as outlined below

Once approved, you will be contacted with instructions on how to finalise your enrolment and payment.

Personal details

Full name

Email address

Phone number

AHPRA registration number

Current Role/Profession

Eligibility and evidence

Select ONE of the following pathways and upload supporting documentation.

Immunisation Certificate (from a HESA-approved institution)

Other Australian Immunisation Certificate

International Immunisation Certificate

Workplace experience (no certificate)

Acknowledgements

I confirm that the information provided is true and accurate.

I understand that my enrolment is subject to eligibility approval.

Thanks for applying. We’ll review and get back to you within 14 days.