Arthrtis & Rheumatology Centre collects personal information from you for the primary purpose of providing quality healthcare. We require your consent to collect personal information about you. Please read this information carefully and sign below.
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. This means we will use the information you provide to this practice in the following ways:
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 the referrals
I have read the information above and understand the reasons why my informationmust 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 of me, but that my failure to do so might compromise the quality of healthcare and treatment given to me.
I am aware of my right to access information collected about me, except in some circumstances where access might legitimately be withheld, I understand I will be given an explanation in these circumstances. I understand that if my information is to be used for any other purpose other than set out above, my further consent will be obtained.
I understand that I will incur a cancellation fee (Telehealth included) of $100 for an initial appointment, or $50 for any review appointment without 24 hour prior notice (apart from exceptional circumstances).
I consent to the handling of my information by this practice for the purposes set out above, subject to any limitations or access or dislcosure that I notide this practice of
