Skip to content

Medication review

A specialist review of your medication, with a written plan for your GP.

For adults already taking medication for their mental health, including ADHD, when it isn't working as well as it should, side effects are a problem, or your GP would like a psychiatrist's view before making changes.

Before your appointment

Please don't stop or change your medication on your own while you wait to be seen. If you feel unwell or have side effects that worry you now, contact your GP today, or call 000 in an emergency.

Who it's for

When a medication review helps

Your medication isn't helping as much as you and your GP hoped

Side effects are getting in the way of sleep, work or everyday life

You take several medicines and want to know they sit well together

Your GP would like a specialist view before making changes

You take ADHD medication and your GP can no longer continue prescribing without a specialist review

The review

What happens in a medication review

The psychiatrist looks at your whole picture as well as the prescription, so the plan fits the way you live.

  1. Your history

    The psychiatrist asks about your mental health over time, what has been tried before and what has actually helped.

  2. Your current medicines

    You go through everything you take now, the doses and how you take them, including over-the-counter medicines and supplements.

  3. Side effects and how you are now

    You talk about side effects, sleep, appetite, mood and anything else that has changed since you started.

  4. A written plan for your GP

    The psychiatrist writes to your GP after every visit with their recommendations. That might mean keeping things as they are, adjusting a dose, or planning a change over time.

  5. Shared care from there

    Your GP keeps prescribing under shared care. If ongoing specialist review is part of the plan, we see you every 3–6 months.

Hands turning the pages of a notebook at a wooden table

Before you come

What to bring

An accurate list of what you take is the most useful thing you can bring. If a list is hard to put together, bring the boxes or photos of the labels instead.

  • A list of every medicine you take now, with the dose and the time of day you take it
  • Over-the-counter medicines, vitamins, herbal remedies and supplements, since these can matter too
  • Medicines you've stopped, and why, if you can remember
  • Letters or reports from any psychiatrist you have seen before

Bring these to the appointment, or ask your GP to include them with the referral. Please don't send medication details or other clinical information through the website enquiry form.

A person seated at a desk at home using a laptop, a mug beside them

After the first visit

Reviews close to home, with your GP in the loop

Your first appointment is preferably in person at our clinic in Blackburn. After that, follow-up reviews can be by telehealth across Victoria, and your GP gets a letter after every visit.

Fees

What a medication review costs

If you're new to us, the review starts with an initial appointment: a one-off assessment with a plan for your GP, or an initial consultation when ongoing specialist care is expected. If you're already our patient, a review is a follow-up appointment. We'll confirm which applies when we call you.

Item Service Duration Fee Out of pocket
A1
One-off psychiatrist assessment & GP plan Medicare item 291. For new patients when your GP will carry the plan forward.
Approx 60 min
$1,000
~$530
A2
Initial psychiatrist consultation, ongoing care Medicare item 296. For new patients when ongoing specialist care is expected.
More than 45 min
$800
~$530
A3
Psychiatry follow-up Medicare item 302. For existing patients.
Less than 30 min
$390
~$300
A4
Longer psychiatry follow-up Medicare item 304. For existing patients.
Between 30 and 45 min
$500
~$366
  • Payment is required in advance for all appointments.
  • Medicare rebates are estimates only and depend on referral type, eligibility, consultation duration, the item actually billed and the psychiatrist’s clinical judgement.
  • The Medicare Safety Net, DVA arrangements, third-party funding, payment processing fees and cancellation fees are not included in the gap estimates.

Questions

Common questions about medication reviews

Should I stop or change my medication before the review?

No. Keep taking your medication as prescribed unless your GP tells you otherwise, because changes are safest when they're planned with your doctor. If you're worried about side effects now, talk to your GP before the appointment, or call 000 in an emergency.

Will the psychiatrist take over my prescriptions?

Usually not. The psychiatrist may recommend or start a change, and once things are stable your GP continues prescribing under shared care. We write to your GP after every visit, so they always know the plan.

Do I need a referral?

To claim the Medicare rebate you need a current referral from your GP or Nurse Practitioner, addressed to The Psychiatrist at Outcome Health. Ask them to list your current medicines in the referral, which saves time at the appointment.

Can the review be done by telehealth?

Your first appointment is preferably in person at our clinic in Blackburn. Once we know you, follow-up reviews can be by telehealth across Victoria.

If you're a GP, our page for referrers explains how to refer and how shared care works. You can also call us on (03) 8822 8444, Mon–Fri, 9am–5pm AEST.