Vaccination Subsidy Scheme - Download Useful Forms (Private Doctors) 2025/26

Notification Form and Request Form

• Notification on Vaccination Activity at Non-clinic Setting
• Vaccination Report (on Vaccination Day)
• Request Form for Vaccination Subsidy Scheme (VSS) Programme Materials

Other Forms

• 2025/26 Vaccination Subsidy Scheme Price Poster
• Notice on eConsent under the Vaccination Subsidy Scheme
• Vaccination Subsidy Scheme - Consent Form (Bilingual version)
• Vaccination Subsidy Scheme - Consent Form (English version)
• Vaccination Subsidy Scheme - Consent Form (Chinese version)

• Vaccination Record Card
• Health Assessment Form and Vaccination Record (PDF Format) (Word Format)
• Sample Medical Certificate for Persons with Intellectual Disability under Vaccination Subsidy Scheme

• Sample Certificate Issued by Designated PID Institution for Persons with Intellectual Disability to use subsidy under Vaccination Subsidy Scheme
• Single Person
• Multiple Persons
• Vaccination Subsidy Scheme Declaration Form for Persons Receiving Standard Rate of "100% Disabled" or "Requiring Constant Attendance" under Comprehensive Social Security Assistance Scheme

• Temperature Record of the Vaccine Storage Refrigerator
• Temperature Excursion Incident Report Form For VSS
• Clinical Incident Notification Form
• Clinical Incident Investigation Report