Health Check

Are you at risk of Cardiovascular disease or Type 2 Diabetes? Find out today.

Cardiovascular disease is the leading cause of death in Australia. Furthermore, diabetes is the fastest growing chronic condition, putting more Australians at risk of developing further complications such as heart disease.

This quick health check involves a risk screening and consultation with the pharmacist to assess your heart and/or diabetes risk, to help you take action before it’s too late. Book now.

Duration: 20 min

Booking Details

Service:

Dose:

Appointment Date:

Appointment Time:

Pharmacy Name:

Location:

Phone Number:

Booking Reference Number:

Please present your booking reference number at your appointment
If you need to cancel, please contact

Your Details

First Name:

Last Name:

Phone:

Email:

Gender:

You have been sent an email with these details. You will also receive a reminder 24 hours before your booking.

Confirm Booking Details:

Booking Details:

Service:

Appointment Date:

Appointment Time:

Pharmacy Name:

Location:

Phone Number:

Enter Your Details:

First Name*

Last Name*

Mobile*

Email*

Gender*

Date of birth*

Street*

Suburb*

State*

Postcode*

Reason for consultation*

What are you experiencing with your health? Provide information to help with the consultation.

Relevant background information*

Include information relevant to your situation e.g. medication you are on, recent health issues, allergies etc.

I am consenting as a substitute decision-maker (e.g. carer) on behalf of the patient

Name of substitute decision-maker*

Consent to pilot clinical service and costs*

I agree to participate in the pilot and understand the scope of the clinical service. I consent to paying the pilot consultation fee and any costs associated with the service. I understand that if I decide not to proceed with receiving some part of a service, I may still be required to pay for services that have already been provided.

Consent to pilot evaluation*

I consent to participating in the evaluation of the pilot and agree to being contacted to participate in surveys about the pilot. I consent to my administrative health service data being analysed for evaluation purposes.

Organisation Code*

I have read and accept the Guild Corporate Health Privacy Policy. I give consent for the pharmacy to provide my personal information to my employer for reconciliation and program management purposes. *

I have read and accept the MedAdvisor Terms and Conditions and Privacy Policy.*

This program closes at 4pm AEST July 31st. Do not book a vaccination after this date/time.

Security Question*