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Pharmacy: Chinchilla Pharmacy

Address: 58 Middle Street
CHINCHILLA, QLD, 4413

Phone: 07 4662 7162

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Chicken Pox

Duration: 30 min

COVID-19 Vaccine - Moderna

Protect your community against COVID-19 and help patients attend their booster shot booking.

Duration: 5 min

Moderna COVID-19 Vaccine (original vaccine and bivalent vaccine bookings)

Important information for COVID-19 boosters and additional doses after 6 months

ATAGI provides guidelines for booster information:
View the latest ATAGI guidelines for recommended COVID-19 vaccine doses.
For clarification on these guidelines, talk to your healthcare professional.

COVID-19 Vaccine - Moderna (age 6-11)

Protect your community against COVID-19 and help patients attend their booster shot booking.

Duration: 5 min

COVID-19 Vaccine - Moderna (age 6-11)

Important information for COVID-19 boosters and additional doses after 6 months

COVID-19 Vaccine - Novavax

Protect your community against COVID-19 and help patients attend their booster shot booking.

Duration: 5 min

COVID-19 Vaccine - Novavax

Important information for COVID-19 boosters and additional doses after 6 months

Flu Shot

Duration: 30 min

Hepatitis B

Duration: 30 min

Measles Mumps Rubella (MMR)

Duration: 30 min

Meningococcal B

Duration: 30 min

Polio

Duration: 30 min

Typhoid

Duration: 30 min

Zoster (herpes zoster)

Duration: 30 min

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First Name*

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Are you eligible? Use the online tool to check COVID-19 vaccine eligibility.

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Medicare Number

IRN

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Name on card

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Date of birth*

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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

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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.

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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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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.

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