Book an appointment for:

You have successfully made a Booking

Pharmacy: Harts Pharmacy

Address: 78 Goulburn Street
CROOKWELL, NSW, 2583

Phone: 02 4832 1138

details

Appointment duration: min

Choose A Date:

Covid-19 Vaccination 12+ years

Covid-19 Vaccination 12+ (Free)

Duration: 15 min

dTpa (Whooping Cough) Vaccination

Diptheria, Tetanus & Pertussis (Whooping Cough) Vaccination

Duration: 15 min

Flu Vaccination 5-64 years

2024 season Influenza vaccination for children and adults aged 5 - 64 years

Duration: 15 min

Flu Vaccination 65+ years

2024 season high-dose influenza vaccine for adults aged 65 and over

Duration: 15 min

Hepatitis A Vaccination

Duration: 15 min

Hepatitis B Vaccination

Hepatitis B vaccination (3-dose course - 0,1 &6 months)

Duration: 15 min

Japanese Encephalitis

Duration: 15 min

Measles Mumps Rubella Vaccination

Duration: 15 min

Shingles Vaccination

Shingles vaccination

Duration: 15 min

Shingles Vaccination 65+ years

Shingles 2-dose vaccination course for ages 65+ on National Immunisation Program

Duration: 30 min

Travel Vaccinations (including consultation)

Consultation and vaccination for travelling

Duration: 30 min

Vaccination (other)

Please specify which vaccination required

Duration: 30 min

Pre-Screening Form

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.

Save time on your visit by answering questions before your appointment.

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*

Dose

Medicare Number

IRN

Medicare Expiry

Name on card

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

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*