Infectious Disease Notification Record
Add it, send the link, collect the answers
No setup and no credit card. The form below works exactly as it is.
- 1Add this form to your service — one sign-up, free.
- 2Send your educators the link. They open it on any device and enter your staff PIN — you won’t be asked while you’re signed in.
- 3Answers come back signed and land in your inbox as soon as they’re submitted.
What the infectious disease notification record looks like
Every question, exactly as your educators will see it. Scroll inside the frame to read the whole form.
About the Infectious Disease Notification Record
A digital infectious disease notification record for educators to document when an infectious disease is identified at the service and record actions taken. Under Regulation 88, the approved provider must ensure families are notified of any infectious disease at the service. This form captures the disease identified, number of children and staff affected, symptoms, actions taken, exclusion period, and details of notifications to parents and the Public Health Unit.
Also called
- Infectious disease form
- Notifiable disease notification
- Communicable disease notice
What's on this form
Every question included in the infectious disease notification record. Add, remove or reword any of them in the form builder.
Step 1 — Completed first
Filled in by the educator or responsible person
Date Identified
Date
Infectious Disease Identified
Short answer
Number of Children Affected
Short answer
Number of Staff Affectedoptional
Short answer
Symptoms Observed
Long answer
Actions Taken
Actions Taken (e.g. cleaning, isolation, exclusion)
Long answer
Recommended Exclusion Period
Short answer
Notifications
Were parents/guardians of affected children notified?
Yes / No
Were all families at the service notified?
Yes / No
Notification Details (method and date)
Long answer
Was the Public Health Unit notified (if required)?
Yes / No
Additional Commentsoptional
Long answer
Reported By
Educator signature
Step 2 — Responsible Person
Completed by a staff member at the service
Responsible Person Details
Educator signature
How this form gets signed
This template runs as a multi-step signing workflow. Each person is notified in turn, and every signature is timestamped and stored against the record.
- 1
Responsible Person
Signs inside the service, using a staff PIN
Australian regulations this form supports
The infectious disease notification record is built around the Education and Care Services National Regulations. These are the regulations it helps you meet.
Infectious diseases
If an infectious disease occurs at the service, reasonable steps must be taken to prevent it spreading, and a parent or authorised emergency contact of each child must be notified as soon as practicable.
Read the full text of Reg 88
(1) If there is an occurrence of an infectious disease at an education and care service, the approved provider of the service must ensure that reasonable steps are taken to prevent the spread of the infectious disease at the service. (2) If there is an occurrence of an infectious disease at a centre-based service, the approved provider of the service must ensure that a parent or an authorised emergency contact of each child being educated and cared for by the service is notified of the occurrence as soon as practicable. (3) If there is an occurrence of an infectious disease at a family day care residence or approved family day care venue, the approved provider of the family day care service must ensure that a parent or an authorised emergency contact of each child being educated and cared for at the residence or venue as part of the service is notified of the occurrence as soon as practicable.
Provided for information only and may not reflect the latest amendments. Refer to the Education and Care Services National Regulations (NSW) for the official legal text.
Where this form fits
The infectious disease notification record is part of these jobs — each guide walks through the whole sequence and the other forms that go with it.
Daily records: what educators fill in as things happen
The records your staff complete during the day — incidents, illness, medication given, and observations of children’s learning.
Forms your educators fill in
The records staff complete — incidents and illness, medication given, observations, safety checks and transport.
Questions about the infectious disease notification record
What is the infectious disease notification record used for?
A digital infectious disease notification record for educators to document when an infectious disease is identified at the service and record actions taken. Under Regulation 88, the approved provider must ensure families are notified of any infectious disease at the service. This form captures the disease identified, number of children and staff affected, symptoms, actions taken, exclusion period, and details of notifications to parents and the Public Health Unit.
Who fills in the infectious disease notification record?
The infectious disease notification record is completed by educators or the responsible person at the service. Staff open it on any device and sign with a service PIN, so there's no separate login to manage. It then moves through 1 signing step — Responsible Person — with each signature timestamped against the record.
Which regulations is the infectious disease notification record built around?
It is built around Reg 88 of the Education and Care Services National Regulations. Reg 88 covers infectious diseases. Check the form against the regulation text for your service before you use it.
Is the infectious disease notification record the same as an infectious disease form?
Yes. Different services use different names for this form — it is also called infectious disease form, notifiable disease notification and communicable disease notice. They all describe the same record, and this template covers it. You can rename it to whatever your service already calls it.
Can I change the questions on the infectious disease notification record?
Yes. The template comes with 16 fields ready to go, but you can add, remove, reword or reorder anything in the drag-and-drop form builder, and add your own conditional logic and signing steps. Your changes only affect your service's copy.
Is the infectious disease notification record free?
Yes — the infectious disease notification record is free to use on the Childcare Forms free plan. No credit card is required to create an account and start sending it.
Ready to use it?
Create a free account, change anything you want, and send it to your first family. No credit card needed.