Book A Consultation - Chelem Health: Your Health, Your Way

Chelem Health - Booking & Personal Details

This guide does not replace professional care. In emergencies, call 000 or visit a hospital immediately.

Booking Details

Consultation Type *

Preferred Time *

Personal Details

Please provide your details below to proceed with your Medicare information.

First Name *

First name is required.

Last Name *

Last name is required.

Sex at Birth *

Male Female

Please select your sex at birth.

Date of Birth *

Please provide correct Date of Birth as per record else we can't issue scripts.

Please select a valid date in the past.

Email *

Please enter a valid email address.

Search Address

Unit/Street Number *

Unit/Street number is required.

Street Name *

Street name is required.

State *

Please select a state.

Suburb/City *

Suburb/City is required.

Post Code *

Please enter a valid 4-digit Australian post code.

Please answer the following questions

Selected medication with strength and dosage

Has this same medication, strength and dosage been prescribed to you in the last 6 months?

Have you had any unwanted side effects from this medication?

Will you book a review with your GP in the next 2 weeks?

Are you pregnant, breastfeeding or family planning?

Medicare Details

I do not have a Medicare card

Card Number

Please enter a valid 10-digit Medicare card number.

Individual Reference Number (IRN)

Please enter a valid IRN (0-9).

Expiry (MM/YY)

Please enter a valid future date in MM/YY format.

medicare

1234 5678 91

JAMES H. CHYKE

VALID TO 08/2025

Booking Details

Personal Details

Please answer the following questions

Medicare Details

OTP2 Varification