Telehealth Booking

Simply fill the booking form to request a telehealth consultation.

Telehealth Booking

If this is an emergency, please dial triple zero immediately (000) or go to a hospital. If you are concerned of contracting corona virus please call the COVID-19 Hotline on 1800 020 080.

In light of the COVID-19 pandemic, our doctors also offer telehealth consultations. If you are unable to get a doctor for a home visit in the after-hours, you can fill in the booking form and one of our doctors will be able to provide a telehealth consult as soon as possible. When requesting for a telehealth consultation, please ensure that you fill in all the details in the booking form including your Medicare details.

Request a booking form

Request a callback form

Booking Name

Your name (if different to booking name)

Patient Date of Birth

Address Line 1 (South Australia only)

Address Line 2

Suburb

Postcode

Contact Number

Email address

Medicare Card Number (if applicable)

Medicare Individual Reference Number

Medicare Card Expiry

Your Regular Medical Practice *

Your Regular Doctor

How did you hear about Family Home Doctors? *

How did you hear about Family Home Doctors? (if other)

Symptoms (optional)

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