Grandiosa Imports Pty Ltd

Clifton Gr. Carrum Downs 3201, Melbourne, VIC, Australia (Head Office).
Vitacura, Santiago de Chile.
Santa Catarina, Brazil

Telephone: +1800 192 351
Email: orders@grandiosa.com.au

MediCheck

Use this form to register as a patient with the Patient Portal.

Name*

Title

First name

Last name

Email*

Telephone

DOB

Gender

Medicare
Number

Medicare
IRN

Medicare
Expiry Month

Medicare
Expiry Year

Address Line 1*

Address Line 2

City

State*

Postcode*

Upload your TGA approval letter

Password
*NOTE: Minimum of 12 characters including numbers and special characters. Strength indicator below must show 'Strong' to allow registration

How did you hear about us?

Terms & Conditions

By submitting you confirm that you agree to the Privacy Policy and Terms of Sale.

Yes, I agree

Registration Type