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Pharmacy: Northpharm Weipa Pharmacy

Address: Heritage Shopping Centre
Commercial Ave
WEIPA, QLD, 4874

Phone: 07 4069 7412

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Absence From Work Certificate

Duration: 15 min

Absence From Work Certificate

Flu Vaccination

Protect yourself against the flu this year by getting vaccinated.

You can now get your flu vaccination at the pharmacy by a pharmacist or nurse. You don't need a prescription from the doctor and the appointment only takes a few minutes. Book now.

Duration: 10 min

Flu Vaccination

Vaccination for Hepatitis A

Duration: 15 min

Vaccination for Hepatitis A

Vaccination for Hepatitis B

Duration: 15 min

Vaccination for Hepatitis B

Vaccination for Measles, Mumps, Rubella (MMR)

Duration: 15 min

Vaccination for Measles, Mumps, Rubella (MMR)

Vaccination for Typhoid

Duration: 15 min

Vaccination for Typhoid

Vaccination for Whooping Cough (Pertussis)

Duration: 15 min

Vaccination for Whooping Cough (Pertussis)

Pre-Screening Form

Booking Details

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Your Details

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First Name*

Last Name*

Mobile*

Email*

Gender*

QLD and SA residents
You must be 6 months or older to receive a flu vaccination in pharmacy.

TAS, ACT, NSW, VIC, NT and WA residents
You must be 5 years or older to receive a flu vaccination in pharmacy.

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*

If applicable, I agree to participate in the Queensland Community Pharmacy Chronic Conditions Management 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. I understand that my pharmacist will inform me if this is applicable to my situation.

Consent to pilot evaluation*

If applicable, I consent to participating in the evaluation of the Queensland Community Pharmacy Chronic Conditions Management 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. I understand that my pharmacist will inform me if this is applicable to my situation.

Organisation Code*

Division*

Employee Status*

Participant ID*

Service selection*

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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