BCG Form

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The BCG vaccination is for children under 5 years who may be at risk of TB.

Please answer the questions below to find out if your child is eligible for the BCG vaccination.

Click here for the list of countries with high rates of TB.

Is your child younger than 5 years old?

Not eligible

Your child is not at an increased risk of catching TB and does not need the BCG vaccine. If you have any queries, please call the BCG phone at 0800 FOR BCG (0800 367 224).

Has your child lived in a house or family/whānau with a person who either currently has TB or has a history of TB?

Within the last five years , has any household member or carer lived for six months or longer in a country with a high number of TB cases?

Will your child live for three months or longer in a country with a high number of TB cases?

Not eligible

Your child is not at an increased risk of catching TB and does not need the BCG vaccine. If you have any queries, please call the BCG phone at 0800 FOR BCG (0800 367 224).

Is your child 6 months or older?

Your child is eligible

Please click next.

Has your child had close contact with anyone who currently has active TB?

Has your child lived or stayed in a country with high rates of TB for 3 months or more? (This includes multiple visits totalling 3 months or more)

Is there a family member who has had TB disease in the last 5 years?

Your child is eligible

Please click next.

Your child will need a Mantoux skin test before being offered the BCG vaccination.

Please fill in the form on the next page, and our staff will be in touch accordingly.

Contact information

If your child is eligible, fill in your information below and we will contact you to discuss an appointment.

Parent or caregiver's information

First Name

Surname

Your NHI number

Address

Post code

Mobile phone number

Do you need an interpreter?

Language spoken?

Your child's information

First name

Surname

NHI number (Found on the front page of your My Health Book)

Date of Birth

BCG FORM

The BCG vaccination is for children under 5 years who may be at risk of TB.

Not eligible

Not eligible

Your child is eligible

Your child is eligible

Your child will need a Mantoux skin test before being offered the BCG vaccination.

Contact information

FOR NOTIFICATIONS OR QUERIES, CALL US ON 09 623 4600