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Pharmacy: Romsey Pharmacy

Address: Shop 3 & 4, 107-113 Main St
ROMSEY, VIC, 3434

Phone: 03 5429 5353

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Boostrix Vaccination

Duration: 15 min

Boostrix Vaccination

Ear Piercing

Duration: 20 min

Ear Piercing

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

Overnight Sleep Study Consultation (Set Up)

Appointment to set up Alice Night One

Duration: 15 min

Overnight Sleep Study Consultation (Set Up)

Sleep Apnoea Consultation (Follow up)

Duration: 30 min

Sleep Apnoea Consultation (Follow up)

Sleep Apnoea Consultation (Machine Set Up)

Appointment to set up Dreamstation machine for 4 week trial

Duration: 60 min

Sleep Apnoea Consultation (Machine Set Up)

Sleep Apnoea Mask Fitting

Duration: 15 min

Sleep Apnoea Mask Fitting

Pre-Screening Form

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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*

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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