Visitor Exemption Request Form

    Currently there are entry restrictions for visitors. Please complete this form to apply for an exemption.

    VISITOR INFORMATION

    Reason for exemption (choose one)



    Or if you are

    PATIENT INFORMATION

    e.g. Ward (provide ward name), theatre, medical suites

    PLEASE NOTE:

    • Unvaccinated parents, carers, guardian or other responsible adult, birth support people and those visiting in an emergency situation will need to comply with risk mitigation measures put in place by the hospital.
    • This includes testing requirements, use of single use masks, physical distancing measures.
    • Only 1 unvaccinated parent, carer, guardian or other responsible adult will be permitted at a time.