Vaccination referrals2021-06-08T16:25:39+10:00

COVID-19 (Coronavirus) Vaccination referrals to Metro North Health

Metro North Health provides COVID -19 vaccination services with Pfizer/BioNTech COMIRNATY and AstraZeneca/Oxford COVID-19 vaccines across multiple facilities including community clinics and hospital-based, specialist led clinics.

Vaccine allocation (vaccination clinic and type of vaccine) will be determined by the service on a case-by-case basis depending on the criteria met by the patient in accordance with Commonwealth Guidelines and local availability.

The public will need an appointment to attend a Metro North Health COVID-19 vaccination clinic – see details below.

NOTE – Patients over 40 yrs including those in 1a, 1b cohort can register for an appointment at a vaccination clinic on the Metro North Health COVID-19 Vaccination site.

Vaccine allocation (vaccination clinic and type of vaccine) will be determined by the service on a case-by-case basis depending on the criteria met by the patient in accordance with Commonwealth Guidelines COVID-19 Vaccine roll out phases and local availability.

Criteria for referral

Patients may be referred for COVID-19 vaccination in Metro North Health if they are eligible for COVID vaccination based on the current National COVID-19 Vaccination Phase and any one of:

Metro North Health will accept referrals for those patients with a history of severe allergies, anaphylaxis, or a history of mastocytosis where their usual treating GP recommends vaccination within a hospital environment.

How to refer

A. Patients requiring specialist vaccine review:

  • A known systemic mast cell activation disorder with raised mast cell tryptase, that requires treatment.
  • Documented anaphylaxis to one of the ingredients contained in the COVID-19 vaccine to be administered (Pfizer – PEG or AstraZeneca – Polysorbate 80).
  • Anaphylaxis to a prior dose of a COVID-19 vaccine.
  • Previous confirmed history of cerebral venous sinus thrombosis (CVST)
  • Previous confirmed medical history of heparin induced thrombocytopenia (HIT)
  • Confirmed history of idiopathic splanchnic (mesenteric, portal and splenic) venous thrombosis.
  • Anti-phospholipid syndrome with thrombosis.
  • History of any form of Thrombosis with Thrombocytopenia Syndrome (TTS) after a previous dose of AstraZeneca/Oxford COVID-19 vaccine
These patients must be referred to clinic by sending your referral to the central patient intake via GP Smart referrals (using the generic template), Medical Objects (ID MQ40290004P) or by Fax (1300-364-952).It must include the essential information explaining the reason for referral and the essential information listed below and other relevant clinical information.

B: Patients requiring precautions:

  •  Immediate (within four hours) and generalised symptoms of a possible allergic reaction without anaphylaxis to a previous dose of a COVID-19 vaccine.
  • Prior history of anaphylaxis to previous vaccines and/or multiple drugs (injectable and/or oral) where ingredients such as PEG or polysorbate 80 may conceivably be the cause.
  • Generalised allergic reaction (without anaphylaxis) to one of the ingredients in the COVID-19 vaccine to be administered (Pfizer-PEG or AstraZeneca-Polysorbate 80).
These patients must be referred to clinic by sending your referral to the central patient intake via GP Smart referrals (using the generic template), Medical Objects (ID MQ40290004P) or by Fax (1300-364-952).It must include the essential information explaining the reason for referral and the essential information listed below.

NOTE: People will be booked into one of the HOSPITAL vaccination clinics within Metro North Health to allow for a local medical team to be readily available.

How to refer
Vaccination with Pfizer/BioNTech COMIRNATY COVID-19 vaccine is the preferred option in people who:

Individuals can be vaccinated at a Metro North Vaccination Clinic.

(Your patient MUST bring documentation to support they are in the 1b Vaccination Cohort by identifying the underlying medical condition or significant disability to support the COVID-19 Vaccination 1b Phase)

Patient books here: Metro North Health COVID-19 Vaccination page

Note that people of any age who received a previous dose of AstraZeneca/Oxford COVID-19 vaccine without any serious adverse events (i.e., significant allergic reaction or TTS), are recommended to receive a second dose with the same vaccine.

How to refer
Vaccination with Pfizer/BioNTech COMIRNATY COVID-19 for patients not meeting any of the above criteria may become available from time to time (depending on vaccine stock levels) and will be considered on a case by case basis but is not guaranteed.

Please see the following guidelines re Astra Zeneca vaccines which details :

Patients not meeting the above criteria who request vaccination with Pfizer/BioNTech COMIRNATY COVID-19 where this is not available to administered in respiratory or GP clinics must register their interest at the Metro North Health COVID-19 Vaccination Registration page.

Patients must not turn up to a Metro North HHS clinic without a confirmed appointment and must bring letter headed documentation from their GP to any appointment they receive, clearly explaining the need for a Pfizer Vaccination when it is outside the Commonwealth & State recommended vaccination guidelines.

Vaccine allocation (vaccination clinic and type of vaccine) will be determined by the service on a case-by-case basis depending on the criteria met by the patient in accordance with Commonwealth Guidelines and local availability.

Essential information required in your COVID-19 vaccination referral letter

  • Full name, including aliases
  • Date of birth
  • Residential and postal address
  • Telephone contact number/s – home, mobile and alternative
  • Medicare number, where eligible
  • Name of the parent or caregiver, if appropriate
  • Preferred language and interpreter requirements
  • Identifies as Aboriginal or Torres Strait Islander
  • Full name
  • Full address
  • Contact details – telephone, fax, email
  • Provider number
  • Date of request
  • Signature
  • History and supporting evidence (if available) of specific relevant underlying medical condition
  • Relevant medical conditions or GP concern
  • If Relevant presenting symptoms (e.g. urticaria, angioedema, hypotension) AND time of onset after vaccination and observations
  • Treatment provided
  • Current medications and dosages
  • Known or previous adverse drug reactions or other allergies
  • Any investigations done
  • Other relevant Medical History and any other information important in relation to COVID vaccination.

As information changes frequently, it is important that you are aware of latest COVID-19 updates.

GP Referral Enquiry hotline

(Central Patient Intake)
8.30am – 5.00pm
Monday – Friday

1300 364 938

Fax: 1300 364 952