Guide

Phone vs Video: Which Telehealth Consultations Need a Camera?

Most OMC Health consultations are phone-only. Video is needed for mental health assessments and some physical 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

AHPRA's October 2025 guidelines do not mandate video; they require 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, phone does not meet this standard regardless of the medium.

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. AHPRA's October 2025 guidelines require a genuine real-time consultation, not specifically a phone 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 Video Is Required or Strongly Preferred

SituationVideo required/preferred?Why
Mental health, anxiety, depression, burnout, PTSD Required 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 your specific situation requires video (mental health, significant injury) and you genuinely 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.

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

No. A certificate from an AHPRA-registered GP following a genuine phone consultation carries exactly the same legal validity as one from a phone consultation. The mode of communication does not affect the certificate's standing under the Fair Work Act 2009 or AHPRA's guidelines. The clinical quality of the assessment is what matters.

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