Patient information form

Patient Consent and Privacy Acknowledgement (Electronic Consent – Australian Specialist Medical Practice)

Collection of Personal and Health Information

This specialist practice complies with the Privacy Act 1988 and the Australian Privacy Principles. We collect personal information, including sensitive health information, for the primary purpose of providing specialist medical assessment, diagnosis, treatment, and ongoing care.

This information is required to ensure safe, appropriate, and effective specialist care.

Use and Disclosure of Information

Your personal and health information may be used or disclosed for the following purposes:

  • Administration and operation of this specialist medical practice

  • Billing, Medicare claiming, and compliance with Department of Health and private health insurer requirements

  • Communication with health professionals involved in your care, including your referring general practitioner, other specialists, hospitals, and allied health providers

  • Clinical correspondence, care coordination, and continuity of treatment

  • Medical defence, accreditation, quality assurance, audit, and legal or regulatory requirements

All information is stored securely and handled confidentially in accordance with Australian specialist practice standards.