As a patient of our medical practice, we require you to provide us with your personal details and a full medical history, so that we may properly assess, diagnose, treat and be proactive in your health care needs.
We aim to protect the privacy and secure storage of your health information. You can request a copy of our privacy policy, which includes information about the collection, use and disclosure of your health information.
We require your consent to collect personal information about you and to use the information you provide in the following ways:
• For contact with you regarding results, recalls and reminders for your healthcare and management. This may be in the form of an SMS, email, phone or letter.
• Administrative purposes in running our medical practice.
• Billing purposes, including compliance with Medicare and Health Insurance Commission requirements.
• Disclosure to others involved in your healthcare including treating doctors and specialists outside this medical practice. This may occur through referral to other doctors, or for medical tests and in the reports or results returned to us following referrals.
• Disclosure to other doctors in the practice, locums etc. attached to the practice for the purposes of patient care and teaching.
• For research and quality assurance activities to improve individual and community health care and practice management. Usually, information that does not identify you is used but should information that will identify you be required you will be informed and given the opportunity to opt out of any involvement.
• To comply with any legislative or regulatory requirements e.g. notifiable diseases.
You can decline to have your health information used in all or some ways outlined above but it may influence our ability to manage your health care to provide the best outcome for you.
If you are unsure about this consent form and would like to discuss further, please inform reception.
