CONTRAVE 8/90 (Modified-release Tablet) x 28
That date isn't valid. Check the month and day aren't reversed.
Please fill this in
Do you already have an active e-prescription from your GP?
Please paste your e-script link.
Shift ⇧ + Enter ↵ to make a line break
press Enter ↵
Discretion is at the heart of what we do but for legal reasons the name on your prescription must be your full legal name. Please provide your legal name as per your official government ID.
Shift ⇧ + Enter ↵ to make a line break
press Enter ↵
Do you take any regular medications, have any known allergies or any medical issues?
Please list any regular medications you take, any known allergies or any medical issues.
Shift ⇧ + Enter ↵ to make a line break
press Enter ↵
Based on your medical history and individual needs, our doctors can provide personalised treatment. Please complete your mobile phone number to view treatment.*
press Enter ↵
Please enter your date of birth. *
/
/
Please use this format (DD/MM/YYYY)
press Enter ↵
Please enter your height in centimetres and weight in kilograms? *
cm
kg
press Enter ↵
Do you have a Medicare card?
Please enter your Medicare Card details
/
What is your IHI?
Your IHI is located next to your Covid vaccine certificate. If you are an international student or working visa holder, for our doctors to write a prescription, you first need to register for myGov and an IHI (Individual Health Identifier). You can do this all online within minutes. Please take a look at the Services Australia website for complete instructions, click here.
Unfortunately based on your answer you would not be suitable for treatment. If you would like to speak with the Burst doctor to discuss other treatment options, please book an appointment here.
If you made a mistake, you can go back and correct your answer.
press Enter ↵