• Complex medical conditions or impaired immunity (for example, undergoing chemotherapy).
• History of adverse event following immunisation (AEFI).
• Under-immunised child requiring a complex catch-up schedule.
• Needle-phobia where strategies for immunisation in primary care have failed.
• Parent seeking modified vaccination schedule due to concerns about immunisation.
• Complex or extensive concerns about immunisation that cannot be addressed in primary care.

• Up-to-date detailed information and scientific literature on immunisation.
• In-depth, extended consultations with immunisation specialists (Clinical Nurse Consultant and/or Paediatrician) to discuss the benefits and risks of immunisation.
• Discussion of alternative vaccination schedules (delayed or selective), according to the recommended NSW schedule.
• Advice about whether their child qualifies for a medical exemption and why or why not.
• Specialist support for children with special needs or needle-phobia.
• Vaccination under sedation (subject to medical evaluation).
• Supervised vaccination for children with complex medical conditions, for example children who are immunosuppressed, receiving chemotherapy, or have a history of anaphylaxis associated with vaccination.
• Follow-up consultations as required.
• Tailored catch-up schedule for under-immunised children.
• Online video-conferencing or telephone consultations for parents outside the Sydney metro area.

• Discuss purpose of NSWISS consultation and qualifications of the medical staff.
• Offer referral if appropriate.
• Address referral to Associate Professor Nicholas Wood, Immunisation Specialist Clinic, Children’s Hospital at Westmead.
• Send the referral either:
  • by fax (02 9845 1418), or
  • email (SCHN-NSWISS@health.gov.au).

• Referral letter.
• Child’s Medicare card.
• Child’s Personal Health Record (Blue Book).

Telephone advisory service Mon to Fri (9am to 5pm): 1800 NSWISS (1800 679 477).