Guide

Phone vs Video: Which Telehealth Consultations Need a Camera?

Most OMC Health consults are by phone. The GP may switch to video when seeing you helps, such as for some mental health or injury reviews. Here is the full breakdown.

5 min readMedically reviewedAustralia-wide
Man at a kitchen bench speaking on his phone, showing a consultation without a video call.
A medical certificate consultation does not always require video if a doctor can safely and appropriately assess your situation by phone. The suitable consultation method depends on your symptoms, clinical needs and the doctor's judgement. If a visual examination or further assessment is necessary, the doctor may recommend video, an in-person appointment or another service.

What AHPRA Says About Phone vs Video

Video is not mandatory; what matters is a genuine real-time consultation. A real-time phone call meets this standard for conditions that can be adequately assessed through audio alone. The key principle is that the GP must directly interact with the patient and exercise genuine clinical judgement. A questionnaire without a real call doesn't meet this standard, whatever the medium.

Can You Get a Medical Certificate Over the Phone?

Yes. At OMC Health, the GP assesses most requests in a real-time phone consult, and the certificate is emailed the same day if approved. The GP may switch to video if they need to see you. A form or questionnaire alone isn't enough, because a doctor has to assess you first.

When Phone Is the Default

For most certificate types, a phone consultation is the standard and appropriate mode. The GP can assess your symptoms, history and work capacity through a detailed phone conversation. What matters is a genuine real-time consultation, not the specific format of the call.

Certificate typePhone appropriate?Why
Sick leave, flu, cold, gastro, sinusitis, UTI Yes Symptoms assessed by description, no visual needed
Sick leave, viral infections Yes Phone assessment sufficient for standard presentations
Sick leave, tonsillitis Possible Video preferred, GP can observe throat
Sick leave, COVID-19 Yes Symptom description sufficient
Carer's leave No, but if GP allows onlyOnly if caring circumstances could be assessed by description
Student medical certificate Yes Academic impact assessed by description
Medical cancellation letter Yes Circumstances assessed by description

When the GP May Switch to Video

Some ear problems need a closer look. The guide on ear infection by phone or in person explains why.

SituationWhen the GP may use videoWhy
Mental health, anxiety, depression, burnout, PTSD If the GP needs it Affect, presentation, and demeanour inform the clinical assessment
Significant physical injuries, back, knee, shoulder Strongly preferred Mobility, posture and visible signs were observed
Skin conditions, dermatitis, rashes Preferred Visual inspection adds diagnostic value
Post-surgical review PreferredWound appearance and mobility were observed
Tonsillitis, throat inspection Preferred GP can visually assess the throat and tonsils
Conjunctivitis Preferred Eye appearance was assessed visually
Carer's leaveStrongly PreferredDoctor need to assess who you are going to care for and the condition.

What If You Don't Have a Camera?

For most certificate types, this is not a problem; phone consultation is the default. If the GP decides video is needed and you have no camera access, contact OMC Health when booking. The GP may be able to conduct an enhanced phone assessment or may recommend an in-person review instead. Skin problems are one case where seeing the area matters. See telehealth limits for skin conditions.

Is a Phone Consultation Certificate Less Valid Than a Video One?

No. A certificate from a registered GP after a genuine phone consultation carries the same legal validity as one from a video consultation. The mode of communication does not affect the certificate's standing under the Fair Work Act 2009. The clinical quality of the assessment is what matters. Employers who doubt telehealth often ask whether online medical certificates are legal, and Fair Work's reasonable person test answers that.

Book a Consultation

If you need a certificate, OMC Health provides real-time AHPRA-registered GP consultations 7 days a week. From $9.99. Full refund if the GP determines a certificate is not clinically appropriate.

Frequently asked questions