This page contains the downloads for the Q Fever Register.
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The Fact Sheet contains introductory information about Q Fever and the Australian Q Fever Register, targeted at employees involved in a screening and vaccination programme.
We recommend that a copy of the Fact Sheet be given to each patient at the commencement of a screening and vaccination programme for their information.[Top of page]
This form must completed by individuals before their information can be put on the Register. It contains their personal details (used to uniquely identify them), explains the use of the Register, and indicates that they have given their consent for their Q fever status information to be put on the Register.
Note: The form consists of two pages. The first page has fields for the patient to fill in with information. The second page has detailed information that the patient should read before signing the form. Patients must received both pages. A Q fever card cannot be issued if this form is not completed AND signed.
Give this form to patients. They should read the information then complete and sign the form.[Top of page]
This form is for recording Q fever test results and whether or not a patient is vaccinated. It is the medical evidence of Q fever status that the Register has to have in order to issue a Q fever card. It is intended to be completed by the health professional(s) responsible for testing and vaccination.
Note: The form consists of two pages. The first page has fields to fill in with information. The second page has detailed information and instructions on how to complete the form.
Read the instructions and complete one form for each patient.
Once skin and blood testing is complete and the patient is vaccinated (if appropriate) then the two forms should be checked to make sure they are complete: Personal Details and Consent Form AND Pre-screening and Vaccination Form. Make sure the patient has signed the Personal Details and Consent Form.
If the medical practice is a Registered User for the Q Fever Register then these two forms can be used to enter the relevant data onto the Register. Record the Register File Reference numbers in the appropriate place on the Pre-screening and Vaccination Form, and then mail/fax/email the completed forms to the Register.
If the medical practice is NOT a Registered User for the Q Fever Register then these two forms can be sent by mail/fax/email to the Register.[Top of page]
This form is completed once for each organisation (medical practice or abattoir etc) wishing to submit data to, or query data from the Register. It contains the details of the organisation and describes the requirements of access to the Register.
The form should be completed and signed by an authorised representative of the organisation, after reading the Terms and Conditions attached to the form.
Note:This form is about the organisation. Only one copy is needed for each organisation. The next form is to provide details for the individual users within the organisation who wish to become a Registered User. An organisation registering for the first time will need to submit the Application for Access form AND one or more User Registration forms.[Top of page]
This form is to be filled in by each individual staff member within the organisation who will actually be doing the work ie accessing and using the Register. If more than one individual wishes to become a Registered User then each person should fill in a separate form.
Complete one form for each nominated user, and send it to the Register.[Top of page]
The Register maintains a voluntary list on the website to allow people to search for practices that provide Q fever testing and vaccination services. This initiative stems from many years ago when only accredited medical practitioners could provide Q fever testing and when not every medical practice was accredited. Now, there is no longer any requirement for accreditation and any medical practitioner is able to provide Q fever testing and vaccination services. The list of vaccine providers is maintained by the Register as a courtesy. We update it when ever a practice informs us they wish to be added or removed.
Medical practitioners may use this form to request that their name be listed on this web site to help individuals or organisations seeking Q Fever vaccinations. Download and complete the form, then mail or fax to the Register office.[Top of page]
The manual contains full documentation of the Australian Q Fever Register Web site. This is an electronic copy of the Manual distributed to all participating organisations.
Use the flow charts for common operations, the site map to understand the structure of the Web site, or read the step by step instructions for each type of task.[Top of page]
The Employee Questionnaire is a questionnaire that is not required by the Q Fever Register. It is provided because some employers or health professionals may be interested in gathering additional information on patient history and Q fever risk factors.
This form is not required by the Australian Q Fever Register. It may be used by an organisation for their own internal purposes.[Top of page]