Western Health Vaccination Declaration Survey

August 31, 2021

It is essential we have an accurate and complete picture of which Western Health staff have received the COVID-19 vaccine.

Click here to access a short form that MUST be completed by all Western Health staff who:

– have booked for vaccination, or
– are planning on booking for vaccination, or
– have received the vaccination at another healthcare facility, or
– are choosing to decline COVID-19 vaccination.


Shane Crowe

Executive Director Nursing & Midwifery