Get Certificate Now (Doctor)

Medical Certificate
- You are aware and agree that we are not a medical practitioner and any opinion we have provided is as a pharmacist, and not a doctor
- You are aware that this consultation is conducted for the purpose of assessing the person’s fitness to work and is not intended to replace medical treatment, opinion or diagnosis; and
- You agree and will respect if the pharmacist advises that if the illness/injury persists or worsens, the person/member should see their general practitioner
I agree to all the above statements*
The pharmacist claims the right to decline issuing a medical certificate if the illness or injury is not within their scope of practice.
What type of certificate you are seeking for:What type of certificate you are seeking for:*

Personal LeaveCarer’s Leave
Full Name*

First NameMiddle NameLast Name
Date of Birth*

MonthDayYear
Address*

Street Address

Street Address Line 2

CityState

Zip CodeCountry
Email*

Confirmation EmailRetype Email
Phone Number*
Please enter a valid phone number.
Proof of Identification (Passport, Driver's Licence, Medicare card, etc)

Only pdf, jpg, jpeg, png format supported.
Cancelof
Optional file upload (discharge papers, doctor's letter, photo of your COVID test)

Only pdf, jpg, jpeg, png format supported.
Cancelof
Illness/Injury as described by the person*
Visible symptoms of the person's illness/injury?*
When did the symptoms first arise?*
Doctor consulted in relation to the illness/injury?*
Dates for the certificate

(maximum 7 days)
From*

DayMonthYear
To*

DayMonthYear

My Products*

Medical Certificate

$17.99AUD

Total

$0.00AUD

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Today's Date
Certificate Reference Number
DateTime
TodayDate
Should be Empty:

Medical Certificate

Dates for the certificate