Immunisation Register for Early Childhood Services and Primary Schools
The information on this register is to come from the child’s Immunisation Certiﬁ cate. The child’s parent/guardian has the right to view their child’s information. Any errors must be corrected. This register must be kept in a secure place, and the information kept conﬁ dential.
The register may be used to identify unimmunised children during an outbreak.
This resource is available from www.healthed.govt.nz or the Authorised Provider at your local DHB. Revised May 2017. 06/2017. Code HE1111
Date Child’s Name Birthdate
If child is less than
15 months old, date
when certiﬁ cate is
next to be shown
Certiﬁ cate not shown
If incomplete, tick diseases
Chickenpox (varicella )