1. Under these proposed changes to the National Health Reform Act 2011, before enrolling a child, childcare centres must obtain documents from parents/guardians that show the child: a) is fully vaccinated for their age, or; b) has a medical reason not to be vaccinated, or; c) has a conscientious objection, including religious beliefs, to vaccination or; d) is on a recognised catch-up schedule if their child has fallen behind with their vaccinations.

2. The amendment will prevent a childcare centre enrolling a child in the centre from 1 January 2014 unless the mandatory documentation is received.

3. Upon enrolment of their child, parents/guardians must provide a copy of the following documents to the childcare centre after lodging them with Medicare: a) An Australian Childhood Immunisation Register (ACIR) Immunisation History Statement which shows that their child is up to date with their scheduled immunisations, or; b) An ACIR Immunisation Exemption Conscientious Objection Form (IMMU12) which has been certified by an immunisation provider and a parent/guardian, or; c) An ACIR Immunisation Exemption - Medical Contraindication Form (IMMU11) which has been certified by an immunisation provider, or; d) An ACIR Immunisation History form on which the immunisation provider has certified that the child is on a recognised catch-up schedule.

4. The childcare centre will be required to store the documents in a secure location for three years, unless a child transfers to another childcare centre. Fines of up to $4000 will apply to childcare centres if they fail to provide the documents when requested by the relevant government statutory body.