For patients

What to expect at your first telehealth appointment

What to expect at a telehealth appointment: how to prepare, the ID check, what happens during the consult, and getting scripts or referrals afterwards.

The MedCall Team 24 September 2025 6 min read

A telehealth appointment is a normal medical consultation — the clinical care is the same as an in-person visit, you just connect by video or phone. If it’s your first one, the main thing to know is that there are no surprises: you prepare, you confirm who you are, you talk through your concern, and you leave with a plan, a script or a referral, just as you would in a clinic room.

Here’s what actually happens, start to finish, so you can walk in (or log in) feeling prepared.

Before the appointment: how to prepare

A little preparation makes a telehealth consult run smoothly. Before your appointment:

  • Choose a quiet, private space where you can speak openly and won’t be interrupted.
  • Have your Medicare card and some ID ready, along with a list of your current medications.
  • Write down your main concerns — the two or three things you most want to cover.
  • Know your pharmacy and its details if you might need a prescription.
  • Check your device if it’s a video consult, ideally on the phone or computer you’ll actually use.

healthdirect’s advice for people using virtual care echoes this: be somewhere private, have your Medicare details to hand, and make sure your device and internet are ready (healthdirect). If you’re doing a video consult and want to be sure your camera and microphone work, you can test your device in about ten seconds beforehand. Not sure how you’ll actually get into the call? Our guide to how to join a telehealth appointment covers the texted-link flow step by step.

The check-in at the start

The first minute or two of a telehealth consult usually covers a few housekeeping steps:

  • Identity check. Your clinician will confirm they’re speaking with the right person — often by asking your name and date of birth. Verifying identity is a normal part of virtual care (healthdirect).
  • Consent and suitability. They may check that you’re happy to proceed by telehealth and that your issue suits a remote consult.
  • A call-back number. Many clinicians ask for a number to reach you on, in case the connection drops.
  • Who else is present. They might ask whether anyone else is in the room, since that affects what you’ll want to discuss.

None of this takes long, and it’s there to protect you.

Treat a telehealth appointment as the real medical consultation it is. Show up on time, somewhere private, with your questions ready — the more prepared you are, the more you’ll get out of the time with your clinician.

What happens during the consult

Once the check-in is done, the appointment runs much like a face-to-face one. You describe what’s going on, the clinician asks questions, and together you work out a plan.

For a video consult, your clinician can see as well as hear you, which adds useful information — they might ask you to hold a rash or a wound up to the camera, watch how you move, or look at your general appearance. The Australian Government describes telehealth as covering both video and phone consultations, used across everything from routine GP visits to mental health support and specialist follow-ups (Department of Health, Disability and Ageing).

A few things worth knowing:

  • It’s fine to ask them to repeat something or to slow down. Video can occasionally clip a word or two.
  • Have your medication list visible so you can answer questions accurately.
  • Say if you can’t hear or see well — it’s better to fix it than to struggle through.
  • Telehealth has limits. If your clinician decides your problem needs a hands-on examination, a test, or urgent care, they’ll tell you and arrange an in-person visit. That’s a sign the system is working, not a failure of the appointment.

Getting a script, referral or certificate afterwards

One of the most useful things about telehealth is that you can leave with the same practical outcomes as an in-person visit. From a telehealth consult, a clinician can typically:

  • Send an electronic prescription (an eScript) to your phone or straight to your pharmacy
  • Issue a referral to a specialist or allied health professional
  • Provide a medical certificate where appropriate
  • Arrange pathology or imaging — for example, a blood test or a scan
  • Set up a follow-up consult, by telehealth or in person

Exactly what’s appropriate is a clinical judgement your clinician makes during the consult, but the mechanics are straightforward and everything can usually be handled without you needing to visit in person just to collect paperwork.

What about the cost?

Telehealth is billed through Medicare much like in-person care. It can be bulk billed, in which case you pay nothing, or you may pay a fee and receive a Medicare rebate (Services Australia). Whether a consult is bulk billed depends on your clinic and your eligibility — there are some rules, including an existing-relationship requirement for a lot of GP telehealth. The simplest move is to ask the clinic what you’ll pay when you book. We cover the detail in is telehealth bulk billed?.

Is it private?

Yes — a telehealth consult carries the same privacy protections as any other medical appointment, and purpose-built telehealth tools are designed around that. MedCall’s calls, for instance, are encrypted and never recorded, with data hosted in Australia. If privacy is on your mind, our guide to whether telehealth is private and secure explains what to expect and what questions to ask.

Follow-up and next steps

After the appointment, you’ll usually have a clear plan: a script waiting at the pharmacy, a referral in your inbox, a test to book, or simply advice and a date to check back in. If you were sent an eScript, keep the token safe — it’s what the pharmacy needs to dispense your medication. And if anything gets worse or you’re unsure about the plan, contact the clinic; a follow-up telehealth consult is often quick to arrange.

The bottom line

Your first telehealth appointment will feel familiar faster than you expect. Prepare a quiet space and your details, confirm who you are, talk through your concern, and collect whatever you need — a script, a referral, a certificate or a plan — on the other side. If it’s a video consult with MedCall, joining is as simple as tapping the link your clinician texts you and allowing your camera and microphone. To take the last bit of uncertainty out of the day, check your device before you start.

This article is general information for Australian clinicians and patients and reflects the rules and sources current at the date of publication. It is not medical, legal or billing advice, and it is not a substitute for the official guidance of Services Australia, the Department of Health and Aged Care, AHPRA or your professional college. Always check the primary sources linked above for the current position.

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The MedCall Team

MedCall is secure telehealth video software built and run by Telehealth Australia Group, a registered Australian telehealth practice. We write these guides for the clinicians who use MedCall every day.

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