Delivery | PrEP Health

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Clinic

Prescription Fulfilment

Complete this form to order your medication.

Name*

First Last

First and Last name, as per Medicare card or Passport!

Email*

Date Of Birth*

Please enter to continue.

Australian Mobile Phone Number*

Australian Mobile number onlky. We need to reach you by SMS when results are ready. 10 digits. NO +61

Delivery Address

This is the address you want the medication delivered.

Street Address*

We just need postal address.

Street address 2

Suburb*

State*

Post Code*

Do you have a health concession card?*

Concession card
Closing the Gap
No Concession

Centrelink Health Concession card or are you registered for Closing The Gap?

Prescription upload

You can share your valid eScript with us here.

You can only upload a valid eScript*

I have a valid eScript.

We can only accept a current eScript. We are not accepting paper scripts at this time.

Paste eScript token here.*

Copy and paste from the token from the email or SMS you received you eScript with. Click here to see an example.

Concession card

Centreline Health Concession Card and Closing The Gap

Concession 3 month's PrEP (90 tablets)

Price:

$7.70 per month, co-payment for concession cardholders through PrEP Health. 3 months delivered at once.

Closing The Gap (CTG)

ATSI and Registered for CTG
Not ATSI
ATSI But also have a concession card.

ATSI - Aboriginal and Torres Straight Islander

Concession card number*

Please enter your 9 numbers and the letter as per your valid concession card (no spaces)

Concession card expiry*

Please enter your valid concession card expiry date. MM/YYYY

PrEP Medication

PrEP Medication*

Price:

From 1 January 2023, Pharmaceutical Benefits Scheme Price $31.60 per month/box 30 tablets. Minimum 3 months delivered online.

Confirmation

Optional, "Urgent Medical Supplies Sticker"*

Yes, I agree to Australia Post medical label to protect my delivery.
No, my packaging must absolutely not have any discreet medical sticker. I accept in times of pressure on the postal system this can lead to delays.

If you order delivery. We post everything secure Express Australia Post. Australia Post, to protect your medication and ensure priority delivery asks for a label "Urgent medical supplies". This sticker is default on all our packaging.

Postage: Australia Post Express Postage*

Price:

Coupon Code

If you have a referral coupon, please let us know here.

Total charged today

$ 0.00

Agreement*

I accept the Terms and Condtions of the PrEP Health service

To see the Terms & Conditions

Phone

This field is for validation purposes and should be left unchanged.

Order Delivery

Prescription Fulfilment

Delivery Address

Prescription upload

Concession card

PrEP Medication

Confirmation

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