Please read this statement carefully
We collect information that is necessary and relevant to provide you with medical care and treatment, and manage our medical practice. This information may include your name, address, date of birth, gender, health information, family history, credit card and direct debit details and contact details. This information may be stored on our computer medical records system and/or in hand written medical records.
Wherever practicable we will only collect information from you personally. However, we may also need to collect information from other sources such as treating specialists, radiologists, pathologists, hospitals and other health care providers. We may also disclose 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.
We collect information in various ways, such as over the phone or in writing, in person in our
Practice or over the internet if you transact with us online. This information may be collected by medical and non-medical staff.
In emergency situations we may also need to collect information from your relatives or friends.
We may be required by law to retain medical records for certain periods of time depending on your age at the time we provide services.
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, which can be accessed through our website.
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 the health care and treatment given to me.
I consent to the handling of my information by this practice for the purposes set out above.
Please Note
Due to the privacy laws, results cannot be given to a third party unless written authorization is obtained or under special circumstances.
