Book a Consult We currently have doctors available and online between 7am and 11pm AEST, seven days a week. You may still book a consult outside of these hours and a doctor will contact you when they become available. Your name* First Name Last Name Date of Birth*Day12345678910111213141516171819202122232425262728293031Month123456789101112Year2022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Gender*MaleFemaleMobile Number*Email Address* Address* Street Address City State Post Code Medicare NumberPlease note, your Medicare details are needed if you require a prescription or referral. Thank you.Reference Number on Medicare CardExpiry DatePlease show as MM/YYYY E.g. 06/2024Do you hold a concession cardPlease select yes if you hold a DVA or concession card. YesPharmacy NameThe doctor may prescribe you medication, please provide the name of the pharmacy that you would be able to collect this from.Pharmacy LocationPlease provide the suburb name or postcode where this pharmacy is located.Where did you hear about us?Access to video functionality I DO NOT have access to a smart phone, tablet or computer with video functionality.COVID-19 Question*Have you tested positive for coronavirus – COVID-19? OR, Have you been in contact with a confirmed case of coronavirus? OR, Have you returned from overseas in the last 14 days? OR, are you isolating yourself at home on the advice of a medical practitioner?NoYesConsent* I agree to the Terms and Conditions.Click here to read our Terms and Conditions. Consultation Fee* Price: $ 49.00 Credit Card Payment* Card Details Cardholder Name