Due to Privacy regulations, we require your consent to collect personal information. This
practice
collects your information in order to identify your medical record and provide an accurate,
quality
health service. This means that we will use the information you provide in the following
ways:
- Administrative purposes in running a specialist medical practice: including
pre-operative
and post-operative calls using phone numbers and names you provide us, as well as
hospital
interaction for booking surgical services.
- Billing purposes, including compliance with Medicare and Health Insurance Commission
requirements.
- Disclosure to others involved in your medical care, including treating doctors,
specialists,
hospital booking staff outside this practice. This may occur through referral to
other
doctors, surgery at hospitals, for medical tests and in the reports or results
returned to
us following the referrals.
- I have read the information above and understand the reasons why my information must
be
collected.
- I am also aware that this practice has a privacy policy on handling patient
information.
- I understand that I am not obliged to provide any information requested but failure
to do so
might compromise the quality of health and treatment provided to me.
- I am aware of my right to access the information collected about me, except in
circumstances
where access might legitimately be withheld.
- I understand I will be given an explanation in these circumstances.
- I understand that I am not obliged to provide any information requested but failure
to do so
might compromise the quality of health and treatment provided to me.
- I understand that if my information is to be used for any other purpose other than
that set
out above, my further consent will be obtained.
- I consent to the handling of my information by this practice for the purpose set out
above,
subject to any limitations on access or disclosure that I notify this practice of.
- I understand that my personal information may go offshore, if I select email as a
preferred
mode of contact.
- I understand that due to the nature of internet connectivity and network routing
outside the
control of JM General Surgery, my personal information in encrypted and protected
format
could be routed in-transit and/or stored offshore.
Due to the privacy laws, results cannot be given to a third party unless written
authorization is
obtained or under special circumstances.
JM General Surgery