Patient privacy collection statement and consent form

Natural Health and Fertility Pty Ltd (ACN 134 648 561) as trustee for The Natural Health and Fertility Trust (ABN 17 290 290 849) also trading as Dr Leah Hechtman (we, us, our) is committed to protecting the privacy of your personal information in accordance with the Privacy Act 1988 (Cth) (Privacy Act) and the Australian Privacy Principles (APPs), which govern the collection, holding, use and disclosure of personal information.

We may collect personal information (including sensitive information such as health information) about you for the primary purpose of providing you with the best level of care and as otherwise required to assess, diagnose and provide treatment and to provide you with related goods and services. If you do not provide complete and accurate personal information, we may be unable to treat you.

This information will also be used for:

• the administrative purpose of running the practice;
• billing, either directly or through an insurer or compensation agency;
• the purposes of validating any order you make for goods or services via our online dispensary and, if we accept that order, fulfilling it;
• use within the practice if discussing or handing over your case to another practitioner of our practice for your ongoing management; and
• disclosure of information to your doctors, your other health professionals or to teachers to facilitate communication and the best possible care for you, including if they are located overseas (we will ordinarily ask your consent before disclosing to any of these types of persons).

 

In the case of insurance or compensation claims, it may also be necessary to disclose and/or collect information that concerns your return to work to an insurer or your employer.

We store your personal information securely and only our staff have access to it. We take all reasonable steps to ensure that any information collected about you is accurate, complete and up-to-date. You may request access to the personal information that we hold about you by contacting our privacy officer at [email protected].

Our privacy policy is available on request in our clinic and on our website. This policy provides more information regarding the collection, use, disclosure and security of your personal information. It also contains information on how you may request access to, and correction of, your personal information, how you may complain about a breach of your privacy and how we will deal with such a complaint.

Any concerns that you may have about this statement or the handling of your personal information can be directed to:

Dr Leah Hechtman
Suite 8, 300 Pacific Highway
Crows Nest, NSW 2065 Australia
+ 61 2 9437 0425
[email protected]