Coronavirus Vaccination

Over 4000 people have had their primary vaccinations through the Alstonville Clinic.

We plan to offer booster vaccinations commencing Feb 2022. Bookings are not yet being taken.

You are eligible for a booster if aged over 18 and if it is more than 4 months since your second dose.

You can check if vaccines are available at a Commonwealth or State clinic using this link.

This page contains the latest information about COVID19 in Alstonville. Advice is changing quickly so please also check NSW Health guidelines.

If you have symptoms of COVID 19 (fever, cough, sore throat, runny nose etc), you should isolate at home and perform a daily RAT test until your symptoms resolve. In our experience, RAT tests can often be negative early in the illness.

If you have contact with someone who has COVID, the new guidelines say that you should determine if you are considered a ‘High Risk’ or ‘Low Risk’ contact NSW Health Information on Contacts

You are a high risk contact if

  • you live with someone who is diagnosed with COVID 19
  • you spent a long time with someone who has COVID-19 (e.g. I stayed overnight at their house or I spent the evening indoors at the house)
  • you interacted closely with someone who has COVID-19 and we were not wearing masks (e.g. we drove a long distance together, or I looked after children who are now positive.)

You are a low risk contact if

  • you spent some time with a person who has COVID-19 (e.g. we had dinner together or met at a pub, club or other social function.)
  • you had brief or distanced contact with a person with COVID-19 (e.g. I dropped off shopping, or we went for a walk outdoors),
  • you received a case alert in the Service NSW App.

If you are a high risk contact of someone with COVID 19, you will need to isolate at home for seven days, perform a RAT test immediately and again on Day 6,  and also if you get symptoms of COVID 19. You should avoid visiting high risk settings such as hospitals or aged care home for another seven days.

If you are a low risk contact, you do not need to isolate unless you develop symptoms of COVID 19, in which case you should isolate at home until your symptoms resolve, and perform a daily RAT test.

If you test positive to COVID 19, you can generally manage this at home. NSW Health Information on managinging COVID at home. You will need to isolate at home for seven days from your positive test.

If you are isolating and become unwell or are concerned, you can arrange a Telehealth consultation with us on 02 66280505. If you become very unwell, especially with shortness of breath, you should call an ambulance on 000.

Key Messages


Alstonville Clinic remains open for all healthcare needs. People still need medical care for all the other problems that aren’t coronavirus related!

The Alstonville Clinic is a provider for COVID19 Vaccination.

Bookings will soon be taken for booster doses for people aged 18 and over. 

We have new procedures in place to protect our patients and help stop the spread of Coronavirus in Alstonville.

Many of our consultations can now be done via video calls or over the phone

All patients with a cough, cold, sore throat, flu or fever will initially be assessed by a doctor over the phone.

if you have a cough or cold or flu or fever, please let us know before you come in to the clinic – even if we are seeing you about something else.

What is the COVID19 Vaccine?

People who have a COVID19 vaccination have a much lower chance of getting sick from the disease called COVID19.

The COVID19 vaccination is free. You choose whether to have the vaccination or not.

Who gets the COVID19 vaccine?

It is intended that everyone who wants one can get the COVID vaccination.

Currently people aged 12 and over can book for vaccination at the Alstonville Clinic


Is Alstonville Clinic providing vaccination against COVID 19?

Yes. We are a 1b provider of vaccinations, which means we started in late March 2021

We are currently vaccination people aged 12 and over.


Can I book in for a Coronavirus vaccination?

Yes – if you are 12 or over.Use this online booking page



Which vaccine are you providing?

The Pfizer Vaccination is now available for everyone aged over 12. 

It is recommended that people who have their first dose of Astra Zeneca vaccine complete their course with second dose Astra Zeneca. This fulfils the requirements to be recognised as  ‘double vaccinated’ 


Do I need a booster vaccination after I have completed my primary course of two shots?

It is likely that we will all need booster vaccinations next year cry

It is now recommended that people who are severely immuncompromised should have a third dose to complete their primary course. This should be given 2 – 6 months after their secoond dose, and Pfizer is recommended.

The full list of eligible conditions is available here.

In particular, note that the following people should have a third dose.

  • People who have had kidney, liver, heart or lung transplants
  • People having chemotherapy or radiotherapy or hormone therapy for cancer.
  • People on immunosupression treatment for arthritis or inflammatory bowel disease where they are using more than 20mg of prednisone for more than 14 days, or methotrexate (in higher doses)
  • People on dialysis

If you are eligible for a third dose please call us to book in.




Frequently asked questions on Coronavirus.

What is coronavirus and COVID19?

Coronavirus is a family of germs that cause respiratory illness, such as a cold or cough. The family has been known about for a long time. COVID19 is a new member of the coronavirus family, only becoming evident in China in December 2019. Symptoms range from a mild cough to pneumonia. Some people recover easily, others may get very sick, very quickly. There is evidence that it spreads from person to person. COVID19 is responsible for the current pandemic.

How is COVID19 spread?

COVID19 is spread from an infected person to another person. The virus is carried by ‘droplets’, or moisture, which a person expels into the air when they cough or is carried on their hands after they have touched their mouth or nose. COVID19 can also be spread through the air if breathed out by an infected person.

What are the symptoms? How severe are they?

Most (80%) people who are infected with COVID19 will have either no symptoms or will have fairly mild symptoms – typically those of a cold or flu. This includes a cough, fever, sore throat, headache, aches and pains, tiredness. Interestingly, it seems that many people start with a loss of the sense of smell!
20% of people infected with COVID19 – that is one out of every five – will develop pneumonia and will require care in hospital. The main indication of worsening infection is shortness of breath.
About 5% of infected people will require intensive care treatment to support their breathing.
It appears from overseas experience that about 1% will die.

Is COVID19 just like the flu? What makes it so special?

COVID19 is new, so that no-one in the world is immune to it. In contrast, many of us have an existing immunity to strains of Influenza.
Because COVID19 is so new, there is as yet no vaccination. We have an effective vaccination each year against Influenza.
COVDI 19 is more contagious than influenza and appears to be about ten time more likely to cause severe illness or death.
So, no, it is not just like the flu.

Will I get COVID19?

Possibly. Currently we have not had an outbreak in our region. Social distancing and handwashing have been effective in limiting the spread. We need to remain cautious.

I am pregnant. Am I at increased risk from COVID19?

Current experience from overseas suggests that pregnant women and their babies are not at increased risk from COVID19. As always when pregnant, it is best to be extra cautious.

Who is at increased risk of severe illness from COVID19?

People aged over 70 are at increased risk of developing severe complications from COVID19.
People with other long term conditions such as diabetes, heart disease, asthma, chronic airways limitation and kidney disease are also at increased risk.
People on immunosuppression treatment after transplant or for autoimmune disease or having chemotherapy for cancer are also at increased risk.

Are my children at risk from COVID19?

Newborn babies, children and young people are much more likely to have no symptoms or mild illness when infected with COVID19. They can, however, still be contagious.

Should I be sending my children to school?

Not if they have a cold, cough, flu or fever. Otherwise, attending school is the current recommendation. Children seem not to get very sick if they are infected with COVID19.

How can I protect myself from coronavirus?

Coronavirus is picked up from infected people who cough or sneeze on you, or if you touch them or something they have touched.
So it is best wherever possible to stay 1.5m from other people, and wash your hands after touching people or things.

What is social distancing?

Social distancing means less contact between you and other people to stop or slow the spread of infectious diseases.

We should all stay at home unless necessary to leave.

If we go out, we should keep 1.5m away from other people, and avoid places where there are other people. At shops and other places, follow the instructions about the maximum number of people permitted inside.

We should wash our hands frequently with soap and water.

What do I do if I have a cold, cough, fever, sore throat or flu?

If you have a cold, cough or flu, you almost certainly have a virus, but it may not be coronavirus. We are seeing lots of ‘normal’ cold and flus. Either way, we don’t want the virus to spread. You should contact us and we can arrange for a COVID swab to be taken.

Practising good hand and sneeze/cough hygiene and keeping your distance from others when you are sick is the best defence against most viruses.

You should:

  • self isolate at home.
  • wash your hands frequently with soap and water, including before and after eating, and after going to the toilet
  • cover your cough and sneeze, dispose of tissues, and wash your hands
  • avoid contact with others (stay more than 1.5 metres from people)

If you need advice, ring our surgery on 66280505 and let our receptionist know that you have a cough, cold or flu. Our on-call doctor will ring you back. They will advise whether you should come in and see us n person, and give you further instructions.

If you do need to go outside or be near other people – for example, if we have made an appointment for you to come to the clinic, it is best to wear a mask if you have one.

Should I get a swab?

Current guidelines are that people should be swabbed if they have a cold, cough, flu or fever.

If you are advised to have a swab, we will usually advise you to attend Sullivan and Nicolaides pathology at Alstonville, Lismore or Ballina. We will need to send them a request form, and it takes two hours for this to be processed from the time we send it. There is also a respiratory clinic at Lismore Base Hospital (9am – 5.30pm, no appointment required) and a special pop-up clinic at the Cherry Street Bowling Club in Ballina, which does require an appointment.

What if I have contact with someone with a diagnosis of coronavirus? What is the difference between close contact and casual contact?

Close contact means that you spent more than 15 minutes face to face with an infectious person, or more than 2 hours in the same room as an infected person.

Casual contact means that you spent less than 15 minutes face to face with an infectious person, or less than 2 hours in the same room as an infected person.

An infectious person is someone who has had a positive swab test for coronavirus and has not been cleared. They are considered infectious from 24 hours before they start developing symptoms.

So, if you had contact with someone and two days later they developed a cough, cold or flu and swabbed positive, you are not considered a close contact.

It is not clear when the infectious period start if someone has a positive swab but has never had any symptoms, but we presume it is from the time the swab was taken and 24 hours beforehand,

What if I have just come back from overseas?

You will be required to be isolated in a Quarantine Hotel at your own expense.

What if I have contact with someone who has a cough and cold?

If they are not known to have coronavirus you don’t have to take any special precautions unless you yourself develop symptoms of a cough, cold or flu.

Do I have to isolate myself? Should I isolate myself?

Yes, is the general answer.

  • You have to isolate yourself
    • if you have a cough, cold or flu. You should stay isolated until the symptoms resolve – that is, until you are better.
    • if you are a close contact of someone with COVID19 (as above), for two weeks
  • You should isolate yourself
    • if you are a person at increased risk (as above)
    • if you do not have to do essential travel
If I have to self isolate, what does that mean?
  • Stay at home.
  • Don’t go to public places including work, school, childcare, university or public gatherings.
  • Only people who usually live with you should be in the home.
  • Do not see visitors.
  • Ask others who are not in isolation to get food and necessities for you.
  • To minimise the spread of any germs you should regularly clean surfaces that are frequently touched such as door handles, light switches, kitchen and bathroom areas. Clean with household detergent or disinfectant.
  • If you develop symptoms of a cough, cold or flu you should call us on 66280505.
If I am self-isolating, do I need to wear a mask?

If you are well, there is no need to wear surgical masks at home
If you must leave home, such as to seek medical care, wear a surgical mask. If you don’t have a mask, take care to not cough or sneeze on others.

If I am self isolating, can I go outside?

It is safe for you to go into your garden or courtyard or balcony. Don’t go to public places.

What does it mean for people that I live with if I have to self isolate?

Others that live with you are not required to be isolated, unless they also meet one of the isolation criteria or become unwell with cough, cold or flu.
If you develop symptoms and are confirmed to have coronavirus, they will be classified as close contacts and will need to be isolated.

How can I get advice from Alstonville Clinic for my cold, cough or flu?

Ring us on 02 66280505 for any advice.
Our on call doctor will call you back.

Can I still see the clinic for other issues?

Yes, we are open for all our usual care.
Also, we are now conducting many consultations via Telehealth.

Should I still come to the clinic for my routine appointment, annual check or care plan?

There are some consultations for which a trip to the clinic is necessary or better. For example, sometimes an examination is required or the situation is complex.
Some routine consultations may be able to be postponed until after the COVID19 risk has passed, especially if you are a person at increased risk.
You are welcome to discuss with our reception team whether a Telehealth consultation would be appropriate.

What is a telehealth consultation?

A Telehealth consultation is not a usual face-to-face consultation, but is conducted either via video, over the Internet or over the telephone.

You will be given instructions on how the telehealth consultation will work.

You may receive a text SMS message with a link to a web page, which will provide a video and audio link from your phone or computer to our doctor or nurse.

What if I don’t have a mobile phone or computer, or I don’t know how to work it?

No problem – we will call you on your telephone.

Are you especially busy at the moment?

No. It is pretty much busyness as usual.

What if my appointment is for a cough, cold or flu? What if I have a cough, cold or flu but am seeing you about a different problem?

We will provide you with a face mask to put on before you come in the clinic, and you will see the doctor in a different room than usual.

How can I avoid picking up a germ or giving anyone else a germ when I am at the clinic? What happens at the reception desk and in the waiting room?

Please make sure you have a mask on if you have a cold, cough or flu, even if your appointment is about a different issue.
Please maintain social distancing. Keep about 1.5m away from other people. You will notice we have spread out the chairs in the waiting room. There is a line on the floor in from of the reception desk. Please keep behind this line when talking to our reception team.

I’m feeling really sick. What should I do?

If it is an emergency – if you have severe pain, or trouble breathing, ring the ambulance on 000.
Ring us at anytime on 0266280505. If it is after hour, as per usual, one of our doctors is on call 24 hours for urgent calls.

I’m feeling really stressed. What should I do?

It is completely normal to be stressed about all these changes and all the news. Physical isolation shouldn’t mean social isolation and you should try and keep in touch with your family and friends even when you feel stuck at home.
Any of our GPs would be happy to talk with you about troubling thoughts and feelings. If necessary, we can put you in touch with a psychologist who is an expert in helping people with stress.
In addition, LifeLine has extra services on 131144.

I’m isolated at home and need prescriptions, food, help. What should I do?

The Alstonville Community is a caring community and we will put you in touch with someone who can help. Ring us on 66280505.