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Chemist2U
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Virtual Respiratory Clinic
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Home
Services
Chemist2U
Download PhenixHealth
Virtual Respiratory Clinic
For Patients
For Doctors
Benefits
Join Us
Telehealth Training
News
Partnerships
Contact
Menu
Home
Services
Chemist2U
Download PhenixHealth
Virtual Respiratory Clinic
For Patients
For Doctors
Benefits
Join Us
Telehealth Training
News
Partnerships
Contact
Book a Consult
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PhenixHealth Booking Form
For active bookings, please complete
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form on the
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Who is this appointment for?*
Appointment for:
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Name of the Patient
Full Residential Address
Postcode
Date of Birth
Phone number*
Are you:*
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What is the consultation for?*
What is the consultation for?*
General Consultation
Medical Certificate
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Prescription
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How would you prefer to receive your Telehealth consultation through?*
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Do you have a Medicare card?*
Do you have a Medicare Card?
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If eligible for bulk billing do you give PhenixHealth permission to bill through Medicare?*
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Medicare Card Number
Medicare Date
Number on Medicare Card
Closest Pharmacy
Would you like your prescription delivered?*
Would you like your prescription delivered?*
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Name of Regular GP
Name of Regular Clinic
Referral Source
Referral Source
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