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Ceasing Correspondence and Release of Information Form - Australian Immunisation Register

Under the Commonwealth, you can reserve your constitutional right to privacy and medical freedom.


Vaccination providers can see your immunisation history on the AIR unless you choose not to share it.


If you have a child under 14, you can also control who sees their record. If you choose not to share your immunisation history, your GP can’t see it.


This form is to opt out of sharing information with vaccination providers!


You’re still eligible to receive immunisations. Information about your immunisations will still be reported to the AIR due to mandatory reporting requirements of vaccination providers.


IMPORTANT INFO!

1. There is no online form, so you will need to download and print the form.


2. The form doesn't work properly if you try to fill it out with Adobe. You are best saving your time and manually filling out the form.


3. The form must be posted to Services Australia. The detailed address can be found on page 1 of the form.


4. To ensure you are opted out, we suggest sending via registered post, as Services Australia will not send any confirmation to you that you have been opted out.


LINK TO THE FORM


This is what the form looks like...

PAGE 1

SECTION 1: TICK ALL 4 BOXES

SENDING IN YOUR FORM IS SO IMPORTANT!

THE MORE PEOPLE THAT OPT OUT OF THE AUSTRALIAN IMMUNISATION REGISTER, THE LESS LIKELY IT IS THAT YOUR VACCINATION STATUS CAN BE USED TO DISCRININATE AGAINST YOU!

IF YOU DONT CONSENT TO YOUR INFORMATION TO BE SHARED, HOW WILL THE GOVERNMENT INTEGRATE VACCINATION STATUS WITH QR CODE CHECK-IN APPS OR VACCINATION PASSPORTS ETC.

 

Don't stand for medical apartheid, government coercion and segregation/ discrimination in Australia!


PROTECT YOUR RIGHTS!

LET'S UNITE AGAINST TYRANNY


LINK TO FORM


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