Please fill out your details on the form provided and email to GSK Vaccines Department:au.vaccines@gsk.com or post to GlaxoSmithKline, PO box 18095 Melbourne 8003

PLEASE PRINT IN BLOCK LETTERS

GSK Healthcare Worker Material Request Form

Title: _________ Name: _______________________________________ Role: __________________________

Organisation: _____________________________________________________________________________

Address: _________________________________________________________________________________

Phone: __________________________ Email: __________________________________________________

HCW INFLUENZA AWARENESS BROCHURE

AUS/FLU6/0029/16

QTY ___________________________

INFLUENZA

HEALTHCARE WORKERS GET VACCINATED AND BE FLU READY

HELP GUARD AGAINST INFLUENZAHave you had your flu vaccine?

GlaxoSmithKline Australia Pty Ltd ABN47 100 162 481. Melbourne Vic. AUS/FLU6/0029/16. Date of Approval: December 2016

For information on GSK products or to report an adverse event involving a GSK product, please contact GSK Medical Information on 1800 033 109. © GSK Group of Companies. All rights reserved.

References:1. Australian Technical Advisory Group on Immunisation (ATAGI). The Australian Immunisation Handbook 10th Edition (2016 Update). Canberra: Department of Health. 2. Myths and Misconceptions- Influenza and vaccination. Influenza Specialist Group Nov 2015 http://isg.org.au/index.php/about-influenza/myths-and-misconceptions/. Accessed Oct 2016. 3. Key facts about Influenza. Centers for Disease Control and Prevention http://www.cdc.gov/flu/keyfacts.htm. Accessed Oct 2016.

Influenza vaccination is the most effective way to prevent infection for you

and your patients.1

ARE YOU FLU READY?

Talk to your healthcare worker program coordinator

for more information on influenza vaccination.

Healthcare workers have a higher chance of contracting influenza and of infecting their patients.1

YOU AND YOUR PATIENTS ARE AT RISK

The influenza virus strains change and your immunity wanes over time.1 Vaccination is therefore recommended every year.1

ANNUALLY

EVERY 12 MTHS

18421 Influenza brochure v7a FA.indd 1-3 6/12/2016 12:54 pm

HCW Influenza awareness brochure provides more

information on commonly asked question regarding influenza

vaccination

HCW INFLUENZA AWARENESS POSTER

AUS/FLU6/0029/16a / f

QTY A3 (16a) ____________________

QTY A4 (16) _____________________

INFLUENZA

Influenza is a serious infection. Symptoms tend to be more severe than the common cold, and can result in serious medical complications and even death.1 Anybody can get the flu however some people are particularly

vulnerable including the elderly, Aboriginal & Torres Strait Islanders, pregnant women and people with predispositions such as asthma, diabetes and heart conditions.1

Influenza vaccination is the most effective way to prevent infection for you and your patients.1

Optimal protection requires yearly immunisation with vaccine containing the latest strains.1

HEALTHCARE WORKERS – GET VACCINATED AND BE FLU READY

Reference: 1. Australian Technical Advisory Group on Immunisation (ATAGI). Australian Immunisation Handbook 10th Edition (2016 Update). Canberra: Department of Health.© GSK Group of Companies. All rights reserved. GlaxoSmithKline Australia Pty Ltd. ABN 47 100 162 481. Melbourne VIC. AUS/FLU6/0029/16a. Date of approval: December 2016

HELP GUARDAGAINST INFLUENZAHave you had your influenza vaccine?

18424 Flu flu awareness poster A3 (20380)_v5a FA.indd 1 7/12/2016 1:00 am

An A3 or A4 poster to help build awareness for HCW influenza

vaccination

HCW INFLUENZA AWARENESS POSTER

AUS/FLU6/0029/16d / g

QTY A3 (16d) ___________________

QTY A4 (16g) ___________________

INFLUENZA

An A3 or A4 poster to encourage HCW influenza vaccination with space below to write time/date/

location of vaccination clinics

All GSK Vaccines Product Information and Consumer Medicine Information are available from au.gsk.com

We, GlaxoSmithKline Australia Pty Ltd ABN 47 100 162 481 collect, use and disclose personal information about you so we can perform our business activities and functions. We collect your personal information in order to administer disease awareness/management programs or other similar programs organised by us, send you material on and contact you regarding our activities and products. If we do not collect your personal information we may be unable to provide you with all of our services, for example information regarding our programs, events, services or products which may be of benefit to you. We will only disclose your personal information as necessary to third parties that we use in the ordinary operation of our business, such as for conference organising, marketing, data processing and associated printing and mailing. We will not disclose your personal information overseas. Our privacy policy can be found at http://www.au.gsk.com/en-au/privacy-policy/ and contains information about how you may access and correct personal information held by us and how you can complain about a breach of privacy and how we will deal with such a complaint.

For information on GSK products or to report an adverse event involving a GSK product, please contact GSK Medical Information on 1800 033 109. GlaxoSmithKline Australia Pty Ltd. Melbourne, VIC. Trade marks are owned or licensed to the GSK group of companies © 2020 GSK group of companies or its licensor PM-AU-FLT-CRD-200001 Date of GSK Approval January 2020.

HCW INFLUENZA VESTAUS/FLU6/0029/16h / i

QTY Medium __________________

QTY Large _____________________

INFLUENZA

HCW influenza program coordinator vests can be ordered in large or medium. Please note

maximum of 6 per order

•

•

HCW INFLUENZA THERMOMETER POSTER

AUS/FLU6/0029/16c

QTY __________________________

INFLUENZA

An A3 poster poster to help track the influenza vaccination uptake