Referral Consent​
By signing you agree that you are:
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A licensed medical professional with a medicare provider number.
By signing this privacy information and consent document, I consent to having the information entered in this form transmitted electronically to authorised third parties. Additionally, I consent to the handling of this information by this practice for the purpose set out above.
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Administrative purposes;
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Billing purposes (including compliance with Medicare and Health Insurance Commission requirements);
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Disclosure to others involved in the patient's healthcare. This includes other treating Doctor and other 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 referrals;
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For research and quality assurance activities to improve individual and community health care and practice management. Only information that does not identify patients is used in these circumstances;
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To comply with any legislative or regulatory requirements, such as notifiable diseases;
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For reminders and recalls which may be sent to patients regarding their health care and management
