Privacy and consent to collect patient information

EndoView Gastroenterology collects personal information from you primarily to deliver safe and high-quality health care. We ask for your person details and medical history so that we can accurately assess, diagnose, treat and manage your ongoing health needs. The information you provide may be used in the following ways:

1. For administrative functions required to operate the practice;
2. For billing purposes, including meeting obligations under Medicare and the Health Insurance Commission;
3. For sharing with other professionals directly involved in your care, such as treating doctors and specialists outside of this practice, as directed by you.
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By providing my information to EndoView Gastroenterology, I confirm that:

• I understand why my information is required and collected.
• I acknowledge that while I am not legally required to provide this information, choosing not to may affect the quality of health care and treatment I receive.
• I am aware that I have the right to access the information held about me, except in specific circumstances where access may legitimately be restricted. If this occurs, I understand I will be given an explanation.
• I understand that if my information is needed for any reason other than those listed above, my consent with be sought beforehand.
• I give consent for this practice to handle my information in line with the purposes outlined, above, subject to any conditions I placed on access or disclosure.