Register of interest to assist in vaccinations
We are compiling a register of GPs, nurses, pharmacies, and other health professionals who are available to work shifts in vaccination clinics. Please complete this form if you are interested.
First name
Surname
Email address
Contact phone number
Profession
General practitioner
Registered nurse
Enrolled nurse
Registered midwife
Pharmacist
Dentist
Podiatrist
Oral health therapist
Radiographer
Physiotherapist
Occupational therapist
Dietician
Speech pathologist
Medical student
AHPRA number
Do you consent to your contact details being shared with practices / respiratory clinics / vaccination hubs seeking additional staff?
Yes
No