Supplier / contractor / tenant vaccine declaration form

St John of God Health Care Inc (SJGHC), including its related entities, is committed to upholding the dignity of each person. Guided by the value of respect, we will manage all personal information in accordance with the Australian Privacy Principles (APPs) and the Notifiable Data Breaches scheme under the Privacy Act 1988 (Cth) (Privacy Act) and all other relevant Commonwealth and State legislation. The SJGHC Privacy Brochure outlines how SJGHC collects, obtains, holds, uses and discloses your personal information in accordance with SJGHC’s Privacy Policy. A copy of our Privacy Brochure is available and can be provided to you upon request or by visiting www.sjog.org.au/privacy.

What information is being collected and why?

Various Australian states and territories have issued public health directives in relation to mandatory vaccinations in certain sectors, including health care.

Where authorised under those directives, SJGHC is required to collect and maintain information in relation to the COVID-19 Vaccination Status of the contractors, suppliers and caregivers who attend a hospital/service. SJGHC is also permitted to collect this information under the Privacy Act to lessen or prevent a serious threat to the life, health or safety of any individual or to public health or safety.

In association with the Vaccination Status of our contractors, suppliers and caregivers, SJGHC will collect the following information:

• name;
• date of birth;
• a copy of the:
  • the COVID-19 digital vaccination certificate;
  • an immunisation history statement issued by Medicare showing the COVID-19 vaccination recorded on the Australia Immunisation Register; or
  • written confirmation issued by the Department of Health stating the COVID-19 vaccination has been received by the contractor, supplier or caregiver; and
• contact details.

How will this information be used?

SJGHC will use your personal information to:

• check whether vaccination has occurred;
• determine whether access to our sites is permitted in accordance with the public health directive;
• identify whether an individual is due to receive a booster;
• identify areas of risk or precautions required during a COVID19 outbreak; and
• comply with any applicable laws.
  
  

SJGHC will only use and disclose your personal information in accordance with the Privacy Act and the Australian Privacy Principles.

What happens if I refuse to provide this information?

If you choose not to provide SJGHC with your personal information in regards to your COVID-19 Vaccination Status, you may be refused entry into SJGHC premises.

Who else has access to my information?

We may use the services of third party service providers for IT systems, professional advice and other functions which may be based or have operations outside of Australia and may require access to your personal information involved with the service provided. All service providers that have access to personal information held by us are required to keep the information confidential and in accordance with the Privacy Act and not to make use of it for any purpose other than to provide services in accordance with their engagement.

How can I access my information, seek corrections or make a complaint?

Our privacy policy contains information about how you may access your personal information and seek correction of such information; as well as how to complain about a breach of the Australian Privacy Principles and how we will deal with such a complaint.

Our privacy policy is accessible at www.sjog.org.au/privacy.

From Friday 21 January 2022, booster vaccinations can be given three or more months after your first two doses of a COVID-19 vaccine.

For more information refer to the NSW Public Health Order.

• For workers who received their second dose on or before 12 September 2021, you must receive your booster by 12 February 2022.
• For workers who received their second dose after 12 September 2021, you must receive your booster by 29 March 2022.

 For more information regarding the VIC Order refer here.

• For workers who were eligible to receive a booster on or before 3 January 2022 (a period of five months from the date of their second dose), you must receive your booster by 5 February 2022.
• For workers who were eligible to receive a booster between 4 January and 30 January (a period of four months from the date of their second dose), you must receive your booster one month from the date you became eligible.
• For workers who were eligible to receive a booster on or after 31 January (a period of three months from the date of their second dose), you must receive your booster one month from the date you became eligible.

You can check what date you are eligible for your booster (i.e. third dose) at www.rollup.wa.gov.au 

For more information regarding the WA Order and full definitions refer here.