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1 | P a g e A p p r o v e d b y N S W H e a l t h A u g u s t 2 0 1 9
Dear Student/Clinical Facilitator or Health Professional,
Important information to assist you to meet the mandatory NSW Health immunisation requirements for placement
This information is supplied to you by the SLHD Clinical Placement Unit (CPU) and approved by NSW
Health, to assist you to submit the correct information regarding immunisation requirements.
Compliance with NSW Health policy directives regarding immunisation requirements is mandatory for
all local, national and international students, enrolled at both the undergraduate and postgraduate
level – importantly, this is also for your safety! Current employees of NSW Health enrolled in
undergraduate or post graduate study are also required to be screened to ensure they meet the 2018
Immunisation policy directive requirements (PD2018_009) as they are classified, for verification
purposes, as a student – this is also a good opportunity to review your current immunisation status.
The vaccination card is a legal document and will be used as a baseline for all future immunisation
screenings as well as when you seek employment within any NSW Health public health facility. When
submitting documentation for review, the only serology report that will be required is the serology
report for ‘Rubella’ if this has been obtained. Ensure your entire history of vaccinations is recorded on
the vaccination card as this will assist staff to perform a comprehensive review. If those records are
unavailable, this advice describes how to meet the immunisation requirements of NSW Health.
There are no exceptions to these requirements.
You will also be required to submit a completed ‘Summary Sheet’ (complete student section only),
‘attachment 6’ and ‘attachment 7’ and only if required an ‘attachment 9’ – all are available for
download at the end of this document. Following review, you will be provided with a classification
status which will determine whether you can OR cannot attend a clinical placement within any NSW
public health facility. It is your responsibility to ensure that what is requested is provided. Missing,
incomplete or poor quality documentation will result in multiple return visits to your GP or accredited
immunisation provider, to ensure the supplied documentation meets these requirements; so read this
document carefully and use page 2 of the summary sheet as a ‘check list’ prior to returning
documentation for review.
Any serology results provided must be in English or have been officially translated into English;
ensure all serology is recorded on the vaccination card with the result for Hepatitis B and Rubella
recorded as a numerical value. However, as advised above the only serology report which is
required to be presented is the serology report for ‘Rubella’; but only if this has been obtained.
Temporary immunisation status is only provided to students enrolled in their first year of study in NSW
and allows students to attend placements whilst finalising Hep B or TB requirements.
2 | P a g e A p p r o v e d b y N S W H e a l t h A u g u s t 2 0 1 9
All students/Clinical Facilitators or other Health professionals who undertake clinical
placements within NSW Health facilities:
Must comply with the NSW Health policy directive ‘Occupational Assessment, Screening and
Vaccination against Specified Infectious Diseases’ (PD 2018_009).
All students who attend clinical placements within NSW Health facilities are classified as
‘Category A’ for the purposes of immunisation screening (PD 2018_009 page 15/43).
Students should meet with their GP or accredited immunisation provider to have a
comprehensive immunisation assessment at their own cost before providing immunisation
documentation for review; this must be performed prior to or during the first year of study for
assessment of compliance. This should occur as soon as possible to allow time to complete
vaccination courses if required.
The GP or accredited immunisation provider is responsible for completing the ‘Vaccination
Record Card for Healthcare Workers/Students’ correctly; that is every entry must have a
date, signature and practice stamp affixed to validate the entry as legitimate to prevent any
perception of fraud.
All evidence, serology and immunisation history (including all childhood vaccination records)
must be recorded onto the NSW Health ‘Vaccination Record Card for Healthcare
Workers/Students’.
Do not provide incomplete or multiple irrelevant documents when submitting documentation
for review; reviewing this information is time consuming and not required. If you provide
irrelevant or incomplete documents an assessment may not be able to take place.
Students who attend their first clinical placement in later years of their course (i.e. not during
their first year) must be assessed (except for TB assessment) in their first year. This is to
identify non-compliance issues early in the student’s candidature, as those who are classified
as non-compliant will not be able to attend placement and this will impact on course
completion.
All students should have the annual influenza vaccination and provide the evidence to the
CPU to update their file; it is best to have this recorded on your vaccination card as this
document forms part of your permanent immunisation record as an adult. Ensure the entry is
dated, signed and has a practice stamp affixed to the entry to validate the entry as legitimate.
Influenza vaccination is a requirement for placements in specified unit’s categorised as ‘High
Risk Category A’. The influenza season is traditionally from 1 June to 30 September.
Following this comprehensive detailed advice will prevent multiple return visits to your GP or
accredited immunisation provider to rectify identified documentation, which is deemed
incomplete or unacceptable. To prevent this from occurring, ensure you read this document
carefully.
3 | P a g e A p p r o v e d b y N S W H e a l t h A u g u s t 2 0 1 9
When submitting documentation for review, submit the following documents in this order:
Both sides of the SLHD Summary Sheet – page 1 is to identify you – page 2 outlines what
documentation is required to meet immunisation requirements and how it must be
documented on the vaccination card.
The completed vaccination card – this is the evidence that you meet the mandatory
requirements of the policy directive and is a legal document – remember every entry requires
a signature, date and practice stamp affixed to the entry to validate the entry as legitimate.
Attachment 6 - complete the document in full.
Attachment 7 – complete the document in full noting all countries you have resided,
lived-in or visited noting the amount of time you have spent in those countries, to
enable a comprehensive TB assessment to be performed.
Attachment 9 - (complete this document only if required). An attachment 9 can only be
countersigned by a GP or accredited immunisation provider – NOT a Justice of the
Peace, friend or teacher!).
Serology report for rubella; if serology has been obtained for MMR ensure the full
history of MMR vaccinations is also recorded on the vaccination card as further MMR
vaccinations may be required based on serology results.
Once an assessment has taken place and if further documentation is required, return
documents in pdf format ONLY from your University email address. Emails sent from generic
addresses will not be opened or processed at the request of the partner universities of SLHD.
Photographs of documents taken on smartphones are not acceptable and the CPU is unable
to create external email accounts to review documents.
Documents supplied by non-enrolled USYD medical elective students must be submitted to
the respective clinical school in the first instance; they will forward this documentation to the
CPU for review.
Evidence of the annual flu vaccination is mandatory for all clinical facilitators.
The following evidence must be recorded on the ‘Vaccination
Record Card for Healthcare Workers/Students’
4 | P a g e A p p r o v e d b y N S W H e a l t h A u g u s t 2 0 1 9
Adult Diphtheria, Tetanus, and Pertussis (Whooping Cough) or
dTpa
Students must provide evidence of having received one adult diphtheria, tetanus, and
pertussis (Whooping Cough) vaccine in the last 10-years.
If a booster vaccination is required ensure that the GP administers a vaccine that contains
diphtheria, tetanus and pertussis (dTpa) and not an adult diphtheria and tetanus (DT) vaccine;
this is NOT a dTpa. Also ensure the GP or accredited immunisation provider administers the
adult version of the vaccination.
Boostrix or ADACEL are the most common forms of this vaccination administered in Australia
and are available worldwide. The batch number to identify Boostrix begins with ‘AC’ and the
batch number to identify ADACEL begins with ‘C’. If the GP or immunisation provider
administers a vaccination with a batch number that does not begin with either ‘AC’ or ‘C’,
have the GP supply a letter in English confirming that the vaccination administered contained
the Diphtheria, Tetanus and Pertussis components, as you may have been vaccinated with
an incorrect vaccination.
NSW Health must be able to identify that you have received the correct vaccination.
Serology results for diphtheria, tetanus and pertussis are NOT ACCEPTED.
‘Infanrix’ is the paediatric version of dTpa and is not licensed to be administered to adults.
Correct documentation from the GP or accredited immunisation provider must include the
‘batch number’ (to ensure the correct vaccination has been administered), ‘date of
vaccination’, ‘provider’s signature’ and ‘practice stamp’ to validate the entry as legitimate to
prevent fraudulent entries on the vaccination card.
Common Questions:
Can dTpa be administered during pregnancy?
The answer is ‘yes’ – this vaccination can be administered from 20-weeks’ gestation
https://www.health.nsw.gov.au/Infectious/factsheets/Pages/pertussis.aspx
“My GP advises me that I may have an allergic reaction to the administration of a specific vaccination – what do I do?”
Call the New South Wales Immunisation Specialist Service (NSWISS) on 1800 679 477 and advice will be given over the phone. If the NSWISS then determines that you can have the vaccine, but require very specialised supervision, they will arrange for you to come to the clinic. Further information is located here http://www.ncirs.org.au/our-work/new-south-wales-immunisation-specialist-service-nswiss
Fact Sheets:
Diphtheria: https://www.health.nsw.gov.au/Infectious/factsheets/Pages/diphtheria.aspx
Tetanus: https://www.health.nsw.gov.au/Infectious/factsheets/Pages/tetanus.aspx
Pertussis: https://www.health.nsw.gov.au/Infectious/factsheets/Pages/pertussis.aspx
5 | P a g e A p p r o v e d b y N S W H e a l t h A u g u s t 2 0 1 9
Hepatitis B
You must ensure that a record of an age-appropriate course of Hepatitis B and serology (to
demonstrate immunity) is recorded on the vaccination card. If an attachment 9 has been
completed (to confirm that an age appropriate course of Hepatitis B has been administered as
a child but medical records confirming this are unavailable), this must also be recorded on
the vaccination card and supplied with documents for review.
An adolescent Hepatitis B schedule is two vaccinations administered between 11 to 15
years of age.
An adult Hepatitis B schedule is three vaccinations beyond 20-years of age. Timing of the
course = Initial dose 1, then dose 2 one (1) month later, followed by dose 3 two (2) months
after dose 2 (with at least 4 months between dose 1 and 3) followed by serology.
Serology should be obtained four to eight weeks after the final dose of Hepatitis B and is to be
recorded as a numerical value on the vaccination card; not recorded as an acronym or phrase
such has ‘positive’, ‘negative’, detected or ‘immune’.
The GP or accredited immunisation provider must include the ‘date of vaccination’ and/or
‘date of serology’, ‘provider’s signature’, ‘practice stamp’ and ‘batch number’ if available, to
validate the entry as legitimate to prevent fraudulent entries on the vaccination card.
An accelerated course of Hepatitis B is not accepted by NSW Health. Further doses may be
required if it is identified that an accelerated course of Hepatitis B has been administered.
Only ‘appropriately trained assessors’, that is a GP or accredited immunisation
provider, can countersign an attachment 9; a Justice of the Peace or any other witness
(flatmate, friend etc.) is not acceptable to countersign this document, as per the advice
outlined in the policy directive (Page 4 of 43 “…Appropriately Trained Assessors)
https://www1.health.nsw.gov.au/pds/ActivePDSDocuments/PD2018_009.pdf
Common questions:
What if the student has negative serology with evidence of an age-appropriate course of
Hepatitis B?
If the student can demonstrate that they have had a course of an age-appropriate Hepatitis B
vaccination and have subsequent negative serology (history of Hep B vaccinations must be recorded
on the vaccination card), the recommendations in the Australian Immunisation Hand book should be
followed:
If adequate anti-HBs levels (≥10 mIU/mL) are not reached after a primary course of hepatitis
B vaccine, the possibility that the person is a Hepatitis B (HBsAg) carrier should be
investigated.
If Hepatitis B infection is excluded a single booster dose (4th
dose) of Hepatitis B vaccine
should be given with subsequent serology obtained.
6 | P a g e A p p r o v e d b y N S W H e a l t h A u g u s t 2 0 1 9
If the student is a non-responder after the 4th booster dose (i.e. serology is negative) they
should have 2 further doses of the hepatitis B vaccine at monthly intervals and be re-tested
for anti-HBs (serology), at least 4 weeks after the last dose.
If after this, serology is still negative this meets the definition of a ‘persistent Hepatitis B non-
responder’ and the student can be viewed as compliant with the policy directive.
Persistent Hepatitis B non-responders must include in their evidence of protection
documentation that they:
1. Are unprotected for Hepatitis B & will minimise exposure to blood and body fluids.
2. Understand the management in the event of exposure includes Hepatitis B
immunoglobulin within 72-hours of parenteral or mucosal exposure to HBV, and;
3. Will comply with the Hepatitis B risk management requirements in Attachment 2 Risk
Management Framework (RMF) under CE Discretionary Power.
What if the student is unable to provide evidence of having had an age-appropriate Hepatitis B
vaccination but has positive serology demonstrating immunity?
In this scenario, a ‘verbal record’ would be accepted. The student must complete and submit
‘Attachment 9 Hepatitis B Statutory Declaration’. This document is to be countersigned by the
GP or accredited immunisation provider and submitted with documentation for review (PD
2018_009, page 24/43 & 43/43). The GP or accredited immunisation provider records on the
vaccination card that an ‘attachment 9’ has been completed and ensure that this entry has a
signature and practice stamp affixed to the entry to validate as legitimate to prevent the
perception of fraudulent entries on the vaccination card.
What if the student has no history of Hepatitis B vaccinations and has negative serology?
The student will be required to have a full course of adult Hepatitis B (as per the schedule
advised above) with follow-up serology to demonstrate immunity ensuring that all entries on
the vaccination card have a signature and practice stamp affixed to validate each entry as
legitimate to prevent the perception of fraudulent entries on the vaccination card.
“My GP advises me that I may have an allergic reaction to the administration of a specific vaccination – what do I do?”
Call the New South Wales Immunisation Specialist Service (NSWISS) on 1800 679 477 and advice will be given over the phone. If the NSWISS then determines that you can have the vaccine, but require very specialised supervision, they will arrange for you to come to the clinic. Further information is located here http://www.ncirs.org.au/our-work/new-south-wales-immunisation-specialist-service-nswiss
Remember an accelerated course of Hepatitis B is not acceptable to NSW Health.
Fact Sheet:
Hepatitis B: https://www.health.nsw.gov.au/Infectious/factsheets/Pages/hepatitis_b.aspx
7 | P a g e A p p r o v e d b y N S W H e a l t h A u g u s t 2 0 1 9
Measles, Mumps and Rubella (MMR) - This advice does not apply to students born
before 1 January 1966.
The student must ensure a record of two MMR Vaccinations (administered at least one month
apart) is recorded on the vaccination card.
If the GP or accredited immunisation provider has obtained MMR serology when conducting
an immunisation review, the rubella serology report must be presented to reviewing health
staff. This is to confirm that the rubella titre level provides sufficient immunity based on the
advice of the pathology company that tested for immunity. There are many pathology
companies that test for ‘rubella immunity’. The interpretation of the result given in the
laboratory’s report must be followed i.e. the report may include additional clinical advice, e.g.
consideration of a booster vaccination for low levels of rubella IgG detected is required. NSW
Health must be satisfied that the student has sufficient immunity to rubella. If the serology for
rubella is consistent with immunity based on the serology test used, ensure the GP or
accredited immunisation provider records (next to the rubella titre entry) “Immune as per
serology result”.
The GP or accredited immunisation provider must include the ‘date of vaccination’ and/or
‘date of serology’, ‘provider’s signature’, ‘practice stamp’ and ‘batch number’ if available, to
validate the entry as legitimate to prevent fraudulent entries on the vaccination card.
The following advice is supplied from Occupational Assessment, Screening and Vaccination Against
Specified Infectious Diseases’ (PD 2018_009, page 26/43) to assist students if a booster for MMR is
required.
Should a worker/student present an age-appropriate MMR vaccination record and
serological result(s) indicating immunity to all three diseases, the vaccination record
should be accepted as compliance with the policy requirements.
Should a worker/student present with a vaccination record of complete vaccination
against MMR and a serology result post-vaccination indicating
negative/equivocal/borderline immunity to one or more of the diseases, they must be
advised to receive a booster MMR vaccine and no further serology is required.
Should a worker/student present with no history of MMR vaccination along with a
serology result indicating negative/equivocal/borderline immunity to one or more of
the diseases, they must receive two doses of MMR vaccine at least four weeks apart
and no further serology is required.
The GP or accredited immunisation provider must include the ‘date of vaccination’,
‘provider’s signature’, ‘practice stamp’ and ‘batch number’ if available, to validate the
entry as legitimate to prevent fraudulent entries on the vaccination card.
8 | P a g e A p p r o v e d b y N S W H e a l t h A u g u s t 2 0 1 9
If a student is born pre- 1 January 1966 & obtains serology that indicates a negative
result to one or all of the diseases tested, they are to have one dose of MMR only,
with no further serology required.
If baseline serology for MMR is negative, ensure the GP does not administer MMRV
(ProQuad) as this vaccination is not licenced to be used in person’s ≥14-years of age.
Common Question:
“My GP advises me that I may have an allergic reaction to the administration of a specific
vaccination – what do I do?”
Call New South Wales Immunisation Specialist Service (NSWISS) on 1800 679 477 and
advice will be given over the phone. If the NSWISS then determines that you can have the
vaccine, but require very specialised supervision, they will arrange for you to come to the
clinic. Further information is located here http://www.ncirs.org.au/our-work/new-south-
wales-immunisation-specialist-service-nswiss
Fact Sheets:
Measles:
https://www.health.nsw.gov.au/Infectious/factsheets/Pages/measles_factsheet.aspx
Mumps: https://www.health.nsw.gov.au/Infectious/factsheets/Pages/mumps.aspx
Rubella: https://www.health.nsw.gov.au/Infectious/factsheets/Pages/rubella-german-
measles.aspx
Catch-up advice: http://ncirs.org.au/sites/default/files/2019-
06/NCIRS%20Measles%20vaccination%20catch-
up%20guide%20for%20immunisation%20providers13062019.pdf
9 | P a g e A p p r o v e d b y N S W H e a l t h A u g u s t 2 0 1 9
Varicella (Chicken Pox) -
To comply with the policy directive the student must ensure a documented record of one dose
of varicella has been administered before the age of 14-years OR two doses (at least 1 month
apart) of varicella has been administered after the age of 14 OR positive serology is recorded
on the vaccination card demonstrating immunity.
A verbal history of ‘chicken pox’ is not accepted by NSW Health as a record of
immunity to varicella.
If baseline serology for varicella is negative, ensure the GP does not administer MMRV
(ProQuad) as this vaccination is not licenced to be used in person’s ≥14-years of age.
If varicella serology is negative as an adult, two (2) doses of varicella will be required one
month apart with no further serology required.
The GP or accredited immunisation provider must include the ‘date of vaccination’ and/or
‘date of serology’, ‘provider’s signature’, ‘practice stamp’ and ‘batch number’ if available, to
validate the entry as legitimate to prevent fraudulent entries on the vaccination card.
Common Question:
“My GP advises me that I may have an allergic reaction to the administration of a specific
vaccination – what do I do?”
Call New South Wales Immunisation Specialist Service (NSWISS) on 1800 679 477 and
advice will be given over the phone. If the NSWISS then determines that you can have the
vaccine, but require very specialised supervision, they will arrange for you to come to the
clinic. Further information is located here http://www.ncirs.org.au/our-work/new-south-
wales-immunisation-specialist-service-nswiss
Fact Sheet:
Chicken Pox: https://www.health.nsw.gov.au/Infectious/factsheets/Pages/chickenpox.aspx
10 | P a g e A p p r o v e d b y N S W H e a l t h A u g u s t 2 0 1 9
Tuberculosis Screening
Students who have spent more than three-months cumulatively in an identified country of high risk at any time in
their life, will require TB screening regardless of how long they have been in Australia – a list of High Risk
countries is located here https://www.health.nsw.gov.au/Infectious/tuberculosis/Pages/high-incidence-
countries.aspx
When providing documentation for review, ensure you have fully completed ‘Attachment 7’ noting all countries
you have lived, resided in or visited noting the entire duration of time spent in that country so an appropriate TB
assessment can take place. Once initial TB screening is completed, and if you go on to subsequently spend more
than three-months in a high risk country in the future, you will be required to participate in TB screening again.
Two types of tests are acceptable when being screened for TB – a Tuberculin Skin Test (TST) OR Interferon
gamma release immunoassay (IGRA) blood test.
TST Test: Ensure the accredited clinician records on the vaccination card whether you have or have
not had a BCG administered. If the first result of a TST test is ‘negative’ and you have had a BCG
administered you will be required to have a subsequent TST called a ‘two-step’ Mantoux within 1-5
weeks. This is to safeguard that the first result was not a ‘false-negative’. Ensure the date, signature
and practice stamp is affixed to the entry to validate the entry as legitimate.
If the TST result shows a reaction greater than 10mm in those who have not received a BCG
vaccination in the past 10 years or 15mm in those that have received BCG vaccination within the past
10 years, you will be required to have a chest X-Ray and clinical review at a NSW Chest Clinic.
Interferon gamma release immunoassay (IGRA): This is a simple blood test used to determine if a
person has been infected with mycobacterium tuberculosis. If positive, you will be required to have a
follow up chest X-Ray and clinical review at a NSW Chest Clinic.
Locations of NSW Health Chest Clinics are located here:
https://www.health.nsw.gov.au/Infectious/tuberculosis/Pages/chest-clinics.aspx
Ensure that any follow-up test results such as a CXR (if required) are recorded on the vaccination
card along with a ‘date’, ‘provider’s signature’ and ‘practice stamp’ to validate the entry as legitimate to
prevent the perception of fraudulent entries on the vaccination card.
Where a parenteral live vaccine has been administered recently, TST OR IGRA should be delayed for at
least one month after vaccination. However if required, a TST can be administered using separate
injection site or IGRA test performed at the same time, as a live vaccine.
If a student has a TST using a Mantoux test to determine TB status and a subsequent test is required,
ensure that the subsequent test is a Mantoux and not an IGRA.
Fact Sheet:
Tuberculosis: https://www.health.nsw.gov.au/Infectious/factsheets/Pages/tuberculosis.aspx
11 | P a g e A p p r o v e d b y N S W H e a l t h A u g u s t 2 0 1 9
Final advice to assist students
Ensure you have visited your GP or accredited immunisation provider to participate in a
comprehensive immunisation screening (taking all immunisation documentation and history
that is accessible to you) prior to submitting documentation for review, ensuring this is
transcribed and recorded on the vaccination card.
When providing immunisation documentation to NSW Health staff to review provide
ONLY:
1. Summary sheet with the student section completed.
2. The completed vaccination card with rubella serology report if the GP has
performed this test.
3. The completed attachment 6 & 7 (and 9 but only if required).
NSW Health is not responsible for factors that prevent a student from meeting these
mandatory requirements. NSW Health strives to ensure that all patients, staff and students
are not placed at risk when students attend a clinical placement.
The student should commence an immunisation review immediately as it may take several
weeks to obtain the required documentation to demonstrate compliance with the policy
directive.
The student should review all advice supplied above before submitting any documentation for
review, to ensure that what has been requested is in the format that has been advised.
Poor or incomplete documentation or if documentation is supplied in a language, other than
English or officially translated into English, will be rejected.
Employees of NSW Health who are enrolled in tertiary education courses, are considered
‘students’ and are required to meet the same requirements as all other students in relation to
immunisation screening.
If follow-up information is required to be submitted, pictures taken on smart-phones are not
acceptable and any supplied documentation must be in pdf format only. JPEG or other
graphic files are not acceptable.
All communication to the SLHD Clinical Placement Unit must always include the summary
sheet, the vaccination card, and attachment 6, 7 and 9 if required in pdf format sent from your
University email address.
The SLHD Clinical Placement Unit email address is [email protected]
12 | P a g e A p p r o v e d b y N S W H e a l t h A u g u s t 2 0 1 9
Documents for download:
1. Summary sheet
https://www.slhd.nsw.gov.au/CCPU/pdfs/SLHD_Compliance_Summary_Sheet.pdf
2. Attachment 6
https://www1.health.nsw.gov.au/pds/ActivePDSDocuments/PD2018_009.pdf
3. Attachment 7
https://www1.health.nsw.gov.au/pds/ActivePDSDocuments/PD2018_009.pdf
4. Attachment 9
https://www1.health.nsw.gov.au/pds/ActivePDSDocuments/PD2018_009.pdf
5. Information on Influenza Vaccination
https://www.health.nsw.gov.au/Infectious/factsheets/Pages/influenza_factsheet.aspx
6. A blank ‘Vaccination Record Card for Healthcare Workers/Students’ is available from
here https://www.slhd.nsw.gov.au/CCPU/pdfs/policy-Vaccination-Record-Card.pdf
7. An example of how this document should be completed is located here -
https://www.slhd.nsw.gov.au/CCPU/pdfs/policy-Vaccination-Record-Card-Example.pdf
Further documentation is required for students enrolled in the following disciplines Medicine,
Midwifery, Paramedicine and Dentistry & Oral Health from 1 July 2019.
An additional document is required to be completed which relates to NSW Health PD2019_026.
Students who undertake Exposure Prone Procedures (EPPs) must undergo testing for Blood Borne
Viruses (BBVs) at commencement of study or within the 12 months prior to commencement of study.
Students enrolled in these disciplines must complete the declaration downloaded from this URL
https://www1.health.nsw.gov.au/pds/ActivePDSDocuments/PD2019_026.pdf#page=23 and
submit to NSW Health before the first clinical placement.
This process is then to be repeated every three years.
