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Pharmacy: Pharmacy 777 South Bunbury

Address: Suite 1
12-16 Vasse Street
Bunbury, WA, 6230

Phone: 08 9721 9631

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MedsCheck

A comprehensive review of your medications in the pharmacy with your pharmacist.

This 20-30 minute consult focuses on education and self-management, aimed to identify any issue that you may be experiencing with your medicines. This service is funded by the government. To find out if you are eligible, click on the link below.

Duration: 30 min

MedsCheck

Sleep report

Duration: 30 min

Sleep report

Sleep setup

Duration: 60 min

Sleep setup

Sleep trial 1

Duration: 45 min

Sleep trial 1

Sleep trial 2

Duration: 30 min

Sleep trial 2

Sleep trial 3

Duration: 30 min

Sleep trial 3

Sleep trial final

Duration: 45 min

Sleep trial final

VACCINE

Duration: 5 min

VACCINE

Pre-Screening Form

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Your Details

First Name:

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You have been sent an email with these details. You will also receive a reminder 24 hours before your booking.

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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*

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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