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Request for Council vaccination history

Use this form to request vaccination records for those who have received vaccinations via the City of Casey Immunisation Service. The majority of our records date from 1996 onwards.

Complete all required * fields

For whom are you requesting vaccination records? (required)

If your child is over 18 they must complete this form themselves, you cannot complete on their behalf.

How would like to be notified? (required)
What is your mailing address?

Can't find your address? Enter it manually.

Privacy statement

I have read and agree to the City of Casey’s Privacy Policy. We will only use the personal information you provided for the purposes for which it was collected and any other authorised use. The information we collect may also be used for our planning and research purposes to improve the services to the community. We will never reveal personal information we collect to third parties unless disclosure is required or authorised by law. If you have any queries or need further information on privacy-related matters, please contact Council’s Privacy Officer.