QUEENSLAND PLASTIC SURGERY PRIVACY CONSENT

I hereby consent to my sensitive information and my personal information relating to my care to be collected.

The primary purpose of this information is to allow for quality and continuity of care. This may be related to medical treatment beyond the initial consultation and relates to a broader or holistic approach where I would reasonably expect the Doctor to require my health information to be disclosed to others in the course of further episodes of care.

I consent to the use and disclosure of this information between staff members and third parties including Medical or Nursing Staff who are involved with my care or likely to be involved in my care. I consent to my personal information being used for secondary purposes, e.g. accreditation, quality assurance programs, clinical audits, billing procedures and direct marketing from our practice. I understand that it is my responsibility that my personal information is accurate, up to date and complete.

I understand that only one consent will be required for the primary purpose of care and that this also authorises any secondary purpose related to the primary purpose so long as it is within reasonable expectations of the patient. I understand that full access to our Privacy Policy is available in printed form if required.

I agree to the terms above.