Update Medical Profile

Doctor Details

Please complete your details below. It is important you complete all information accurately to allow the automated prescription systems to work correctly.

Personal
ID Verification
Medical History
Patient Consent
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Doctor Details

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Name

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Surname

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Middle Name(s)

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Once you type your email, click "Send Code" to receive an Email with a verification code

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You will receive a verification code via Email to your mobile in a few seconds. This may take up to a minute depending on your carrier.

Mobile Number

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Once you type your mobile number, click "Send Code" to receive an SMS with a verification PIN.

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You will receive a verification code via SMS to your mobile in a few seconds. This may take up to a minute depending on your carrier.

Home Address

Suburb

State

Postcode

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Your personal details

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Individual Health Identifier Number (IHI)

800360-

The first six digits of your IHI cannot be edited. Please input the remaining numbers

IHI number must be 10 numbers, excluding the first 6 numbers.

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Medical Conditions

If you have any medical conditions, please add them by clicking "+ Add Medical Condition below"

{title}

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Had these symptoms for: {duration}

{symptoms}

This medical condition was added by your doctor and cannot be changed

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Complete Medical History

Medical History Medical History Read Only

Below is your completed medical history. You cannot edit this, however you can talk to your doctor during your consultation if you wish to make any changes.

Pharmacy for paper Prescriptions

If prescriptions cannot be sent electronically to your mobile, your prescriptions will be sent to:

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Scripts:
Telephone:
Website:

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Your preferred Pharmacy is where your prescription will be sent to directly.

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Select Pharmacy

Your preferred pharmacy selection is used to send prescrptions to.

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{title} {code}

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{name}

{address1}

{address2}

{website}

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Provider Number

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Prescriber Number

Prescriber Number must be 7 digits in length

AHPRA Registration

AHPRA must start with "MED" and followed by 10 numbers

Health Provider Identifier - Individual (HPII)

800361-

First 6 digits of HPII are not editable, please enter remaining numbers

Qualifications

Insurance

List insurer and your account/customer number.

Biography

Write a summary of your experience, field of interest and expertise.

Signature Upload

A signature image file must be uploaded in order to create paper prescriptions and to issue patient letters. Ensure your signature is black on a pure white background. You may send your image file to the support team for adjustment and upload for best results.

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