Name: Medical Certificate
SKU: 990
Availability: InStock
Rating: 4.7 (7759 reviews)

For your safety, we need to ask you some questions.At any stage if you feel very unwell or your symptoms get worse, you must seek immediate medical attention.

I confirm I am in Australia and my Qoctor profile (if previously registered) is up to date.*

Yes
No

I confirm that I am not seriously unwell, I just need a medical certificate*

Yes
No

I confirm that I do NOT have any of the following symptoms currently:*

○ Chest pain
○ Shortness of breath
○ Unable to swallow fluids or saliva
○ Weakness or numbness down one side
○ Slurred speech

Yes
No

Have you ever had any of the following conditions? ( leave blank if none apply)

I need a certificate for one of the following conditions (please select one)*

Have your symptoms lasted for 7 days or more?*

Yes
No

Do you have severe tummy pain?*

Yes
No

Are you dehydrated? (Dizzy, unable to drink sips of fluid, passing little or no urine)*

Yes
No

Is there blood in your vomit or poo, or is your poo black and tarry?*

Yes
No

Do you have any previous stomach or bowel conditions?*

Yes
No

Have you had back pain for more than 7 days?*

Yes
No

Do you have any of the following:*

○ Back pain radiating into one or both legs
○ Pins and needles/numbness or around your anus or behind your genitalia
○ Any weakness in your legs
○ Loss of bladder or bowel control
○ Any urinary symptoms (for example, pain when passing urine or passing urine more frequently)
○ Any fever or ‘flu-like’ symptoms
○ Unexplained weight loss

Yes
No

Have your headaches been previously confirmed as migraine by your doctor?*

Yes
No

Do you have a fever, flu like symptoms or confusion with your current headache?*

Yes
No

Is your current headache far more severe than your previous migraines?*

Yes
No

Have you had a head injury in the last 2 weeks?*

Yes
No

Do you have uncontrolled hypertension (high blood pressure)?*

Yes
No

Is there any chance you could be pregnant?*

Yes
No

Do you have a fever or flu like symptoms?*

Yes
No

Do you have any foul smelling/abnormal vaginal discharge?*

Yes
No

Is this period pain much more severe than previous episodes?*

Yes
No

Do you have any of the following:*

○ Headache accompanied by neck stiffness
○ Discomfort when looking at bright lights
○ Rash which doesn't fade when you press on it
○ Difficulty in breathing
○ Chest pain
○ Coughing up blood/blood stained phlegm
○ Unable to swallow solids and fluids

Yes
No

What dates do you need the certificate for?

From*

To*

Please select a time slot for your video consultation from the drop-down menu below*

Special Notes

I confirm I do not think I need to see a GP in person.*

Yes

If my symptoms continue or get worse I will see my GP in person*

Yes

Does your current health issue (reason for booking this appointment) relate to a legal matter, court appearance or a Workcover/insurance claim?*

Yes
No

I have read and accept the terms and conditions.*

Yes

In certain situations, a longer GP consultation will allow us to meet your needs more effectively. This includes:*

○ If your university/employer requires an additional special form to be completed for your sick leave
○ If your sick leave started more than a week ago
○ If you have already had 2 or more medical certificates in the past 4 weeks
○ If you have a long term, recurring or complex medical condition
○ If you need to discuss other health issues

Do any of the above circumstances apply to you?

Yes
No

What's next?
• Click “continue” below to go to the next page, where you’ll complete the final steps of your booking.
• You’ll be asked to login if you haven’t already done so.
• When you have completed checkout, you’ll get a confirmation email.
• Later, you’ll get another SMS and email, 15minutes before your appointment slot, with a video link to your appointment.

Medial Cetificate

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