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Ask your GP about a Home Medicines Review

Make a short letter to take to your doctor. It takes two minutes and nothing is sent to us.

For patients and carers

A Home Medicines Review starts with your GP

We can only visit after your doctor refers you. If you think a review could help, fill in the form to make a short letter, print it and take it to your next appointment. Your GP will decide whether a review is right for you.

Reviews are free for eligible patients with a Medicare or DVA card.
A pharmacist visits you at home and goes through all your medicines with you.
We can speak with you in English, Urdu, Hindi or Punjabi.

This form does not send anything to us. It makes a letter on your screen that you can print and take to your doctor.

About the patient

Patient name *Enter the patient's name.

Date of birth

Who is filling this in?

Your doctor

GP name

Practice

Why a review might help (tick any that apply)

Takes 5 or more medicines regularly Was in hospital recently Medicines were changed recently Finds it hard to keep track of medicines Has had falls, dizziness or confusion May be having side effects from a medicine Has questions about why they take some medicines

Anything else you want your doctor to know (optional)

Preferred language for the visit