Contact Name: *
Maximum 255 characters
0/255
Contact Number: *
Contact Email: *
Practice Name: *
Is your practice currently registered as a COVID-19 vaccination provider? *
Does your practice hold a valid accreditation through the National General Practice Accreditation Scheme? *
Does your practice administer vaccines as part of the National Immunisation Program? *
Are you able to supply and transport COVID-19 vaccines? *
Please confirm that GPs who will administer vaccines will have undertaken the mandatory training required to deliver COVID-19 vaccination services. *
Please describe the geographic reach that your practice can deliver in-home vaccinations to. *
Maximum 20,000 characters
0/20,000
By submitting this Expression of Interest, your general practice is agreeing to arrange and administer COVID-19 vaccinations in the Brisbane North region to people requiring in-home visits at dates and times to be agreed between the patient (referred by Brisbane North PHN) and your practice. *
The appointed general practices agree to invoice Brisbane North PHN monthly detailing the patients’ first name, suburb, distance from practice to patient’s home (up to 50km; over 50km); date of vaccination.
Your ROI is now submitted.
Successful applicants will be notified as soon as possible.
Please contact agedcareprojects@brisbanenorthphn.org.au if you have any questions.
