Before your consultation

Health screening

CareWise telehealth consultations are for adults aged 18 years and over. Share some information about your health and what you’d like help with to prepare for a consultation.

Privacy note: This screening form is for appointment preparation only. It does not send your answers to CareWise, save them on this website or transfer them to Halaxy. Please don’t enter details expecting the practice to receive them. Read the Privacy Policy for information about the practice’s use of Halaxy AI Scribe. Please call 03 4421 6384 to discuss how to securely share your health information with the practice.

Your health screening

Fields marked * are required.

Full name (adult patient) *Date of birth *Phone number *Email address

What would you like help with? *Briefly describe your concern *Current medications and known allergiesI confirm I am 18 years of age or older.I understand this form is not monitored for emergencies and does not send or save my answers online. I will contact the practice by phone to discuss sharing this information securely.

Please do not use this form to seek urgent medical assistance. In an emergency, call 000. For urgent medical advice, contact your local emergency department or health service.