Terms of use / Privacy Policy

Harbour Road Medical collects information from you for the primary purpose of providing quality health care. We require you to
provide us with your personal details and a full medical history so that we may properly assess, diagnose and treat illnesses and
medical conditions, ensuring we are proactive in your health care. To enable ongoing care, and in keeping with the Privacy Act
1988 and Australian Privacy Principles, we wish to provide you with sufficient information on how your personal information
may be used or disclosed and record your consent or restrictions to this consent.


Your personal information will only be used for the purposes for which it was collected or as otherwise permitted by law, and we
respect your right to determine how your information is used or disclosed.
The information we collect may be collected by a number of different methods and examples may include: medical test results,
notes from consultations, Medicare details, data collected from observations and conversations with you, and details obtained
from other health care providers (e.g. specialist correspondence).


By signing you (as a patient/parent/guardian) are consenting to the collection of your personal information, and that it
may be used or disclosed by the practice for the following purposes:
 Administrative purposes in the operation of our general practice.
 Billing purposes, including compliance with Medicare requirements.
 Follow-up reminder/recall notices for treatment and preventative healthcare, frequently issued by SMS.
 Disclosure to others involved in your health care, 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.
 Accreditation and quality assurance activities to improve individual and community health care and practice management.
 For legal related disclosure as required by a court of law.
 For the purposes of research only where de-identified information is used.
 To allow medical students and staff to participate in medical training/teaching using only de-identified information.
 To comply with any legislative or regulatory requirements, e.g. notifiable diseases.
 For use when seeking treatment by other doctors in this practice.


At all times we are required to ensure your details are treated with the utmost confidentiality. Your records are very important
and we will take all steps necessary to ensure they remain confidential.
Please complete the form below if you understand and agree to the following statements in relation to our use, collection,
privacy and disclosure of your patient information.


By signing the consent you declare you have read the information above and understand the reasons why my information must
be collected, and the purposes for which my information may be used or disclosed. I understand that if my information is to be
used for any purpose other than that set out above, my further consent will be obtained.


By signing the consent you give permission for my personal information to be collected, used and disclosed as described above,
including contact via SMS to my mobile phone number. I understand only my relevant personal information will be provided to
allow the above actions to be undertaken and I am free to withdraw, alter or restrict my consent at any time by notifying this
practice in writing.

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