PRIVACY AGREEMENT

(PRIVACY ACT 1988 - PATIENT TO CONSENT & DISCLOSE INFORMATION)

 The privacy Act 1988 requires medical practitioners to obtain consent from their patients to collect, use and disclose the patient’s person information.

Collection: This means we will collect information that is necessary to properly advise and treat you, such information may include:

  • Full medical history
  • Family medical history
  • Ethnicity
  • Contact details
  • Medicare/private health fund details
  • Genetic information
  • Bill/account details

The information will normally be collected directly from you. There may be occasions when we will need to obtain information from other sources for example:

  • Other medical practitioners such as a former GP or Specialist
  • Other health care providers, such as physiotherapists, occupational therapists, psychologists, pharmacies, dentists, nurses and hospitals including day surgery units.

Both our practice staff and medical practitioners may participate in the collection of this information.

In emergency situations, we may need to collect personal information from relatives or other sources where we are unable to obtain your prior express consent.

 

USE & DISCLOSURE

With your consent, the practice staff will use and disclose your information for purposes such as:

  • Account keeping and billing purposes
  • Referral to another medical practitioner or health care provider
  • Sending of specimens, such as blood samples or cervical screening tests (pap smears) for analysis
  • Referral to hospital for treatment and or advice
  • Advice on treatment options.
  • The management of our practice
  • Quality assurance, practice accreditation and complaint handling
  • To meet our obligations of notification to our medical defence organisations or insurers
  • To prevent or lessen a serious threat to an individual’s life, health or safety and
  • Where legally required to do so, such as producing records to court, mandatory reporting of child abuse or the notification or diagnosis of certain communicable diseases.

 

ACCESS

You are entitled to access your own health records at any time convenient to both yourself and the practice. Access can be denied where:

  • To provide access would create a serious threat to life or health
  • There is a legal impediment to access
  • The access would unreasonably impact on the privacy of another
  • Your request is frivolous
  • The information relates to anticipated or actual legal proceedings and you would not be entitled to access the information in those proceedings and
  • In the interests of national security

 

We ask where possible, your interests be in writing. We may impose a charge for photocopying or for staff time involved in processing your request. Where you dispute the accuracy of the information we have recorded, you are entitled to correct that information. It is our practice policy that we take all steps to record all of your corrections and place them with your file but will not erase the original record.

CONSENT- TO BE SIGNED BY ALL PATIENTS

I provide my consent to collect, use and disclose my personal information as outlined in the privacy agreement I understand that I am entitled to access my own health records except where access would be denied as outlined above. I understand that I may withdraw my consent as to use and disclosure of my  personal information except when legal obligations must be met.

Signature

_________________________   Signature: (partner) _____________  Date:____________
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