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Pharmacy: Victoria Street UFS Pharmacy

Address: 69 Victoria Street
Ballarat, VIC, 3350

Phone: 0353331959

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Appointment duration: min

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Blood pressure monitoring service

Duration: 5 min

Blood pressure monitoring service

Diabetes MedsCheck (medication review)

Duration: 30 min

Diabetes MedsCheck (medication review)

Flu vaccination (10-64)

Duration: 20 min

Flu vaccination (10-64)

Leave certificate (absence from work)

Duration: 10 min

Leave certificate (absence from work)

Medication packing service consultation

Duration: 15 min

Medication packing service consultation

MedsCheck (medication review)

Duration: 30 min

MedsCheck (medication review)

Mild psoriasis treatment consultation

Duration: 20 min

Mild psoriasis treatment consultation

Oral contraceptive resupply (women 16-50)

Duration: 20 min

Oral contraceptive resupply (women 16-50)

Pharmacist consultation

Duration: 10 min

Pharmacist consultation

Shingles treatment consultation

Duration: 20 min

Shingles treatment consultation

UTI treatment consultation (women 18-65)

Duration: 20 min

UTI treatment consultation (women 18-65)

Whooping cough vaccination

Duration: 20 min

Whooping cough vaccination

Pre-Screening Form

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First Name*

Last Name*

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Dose

Medicare Number

IRN

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Name on card

Enter your Medicare number and other details to reduce your waiting time in the pharmacy.

Date of birth*

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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.

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

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