The Privacy Act 1988 requires health practitioners to obtain consent from patients in order to collect, use and disclose patient’s personal information. Please read this form and sign the statement of consent.
We will collect information from you and sometimes from medical practitioners
and health care providers. Our practice staff and therapists will participate in the collection of this information. Information collected includes a medical history, social history and billing details. Some images from operations or if photographed in the clinic may be maintained in your notes and included in letters to your doctor.
Information Use & Disclosure
Your records and personal information are considered strictly confidential. Therefore we require your consent to use your information to undertake the following:
- communicate with your referring doctor and general practitioner
- refer you to other medical practitioners / health care practitioners as required
- refer you for radiological tests
- management of our practice e.g billing, notification of insurers & employers
- audit and research within our practice
- when legally required to do so
If you are a workcover or motor vehicle insuranced patient we may send copies of some revelant communications to your insurance company or employer.
All of the information obtained will be treated confidentially. Any research data or presentation that utilised patient information or images will not include any informa- tion that could in any way identify individual patients.
You may request a copy of your therapy records or this privacy information. CONSENT
I provide my consent for Hands & All and the clinic staff to collect, use and disclose my personal information as outlined above.