Booking Details

Service:

Appointment Date:

Appointment Time:

Pharmacy Name:

Location:

Phone Number:

Booking Reference Number:

Please present your booking reference number at your appointment
If you need to cancel, please contact

Your Details

First Name:

Last Name:

Phone:

Email:

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

Confirm Booking Details:

Booking Details:

Service:

Appointment Date:

Appointment Time:

Pharmacy Name:

Location:

Phone Number:

Enter Your Details:

First Name*

Last Name*

Mobile*

Email*

You must be 16 years or older to receive a flu vaccination in pharmacy (or 10 years or older in Tas, Vic, QLD, WA and NSW).

You may also be eligible for a free vaccination under the National Immunisation Program. More information available here.

Medicare Number

IRN

Name on card

Date of birth

Address

Enter your Medicare number and other details to reduce your waiting time in the pharmacy.

I have read and accept the MedAdvisor Terms and Conditions

Security Question*