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Useful Forms

Useful Forms

2017-10-09

Consent to Use Vaccination Subsidy 

   • For elderly aged 65 or above

   • For persons aged below 65 years

Information Leaflet

Request Form for Vaccination Record Card / Consent to use Subsidy Form

Change Form

Vaccination Record Card

Health Assessment Form and Vaccination Record

Notification on Vaccination activity at Non-clinic Setting

Sample of Medical Certificate for Persons with Intellectual Disability

Certificate Issued by Designated Institution serving Persons with Intellectual Disability (PID) for PID to use subsidy under Vaccination Subsidy Scheme 2017/18 

     ♦ Single Person

     ♦ Multiple Persons

Temperature record of the vaccine storage refrigerator