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Pharmacy: Lucas UFS Pharmacy

Address: Shop 1 Woolworths Lucas
Coltman Plaza
Lucas, VIC, 3350

Phone: 0353429855

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Blood Pressure Monitoring Service

Duration: 5 min

Blood Pressure Monitoring Service

Diabetes MedsCheck (medication review)

Duration: 30 min

Diabetes MedsCheck (medication review)

Human Papillomavirus (HPV) vaccination

Duration: 10 min

Human Papillomavirus (HPV) vaccination

Leave Certificate (absence from work)

Duration: 10 min

Leave Certificate (absence from work)

Measles Mumps Rubella (MMR) vaccination

Duration: 10 min

Measles Mumps Rubella (MMR) vaccination

MedsCheck (Medication review)

Duration: 30 min

MedsCheck (Medication review)

Mild psoriasis treatment consultation

Duration: 15 min

Mild psoriasis treatment consultation

Oral contraceptive resupply (women 16-50)

Duration: 15 min

Oral contraceptive resupply (women 16-50)

Pharmacist consultation

Duration: 15 min

Pharmacist consultation

Pneumococcal vaccination

Duration: 10 min

Pneumococcal vaccination

Respiratory Syncytial Virus (RSV) vaccination

Duration: 10 min

Respiratory Syncytial Virus (RSV) vaccination

Shingles treatment consultation

Duration: 15 min

Shingles treatment consultation

Shingles vaccination

Duration: 10 min

Shingles vaccination

UTI treatment consultation (women 18-65)

Duration: 15 min

UTI treatment consultation (women 18-65)

Vaccination

Duration: 10 min

Vaccination

Whooping cough vaccination

Duration: 10 min

Whooping cough vaccination

Pre-Screening Form

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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*

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*

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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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