To comply with the Commonwealth Privacy Legislation, Bulimba Dermatology requires your consent to collect
personal information. Please read this information carefully. Bulimba Dermatology collects your information in
order to identify your medical record and provide an accurate, quality health service. This means that we will
use the information you provide in the following ways:
• To gain a history, diagnose disease and provide treatment where necessary.
• Administrative purposes in running a specialist medical practice: including pre-operative and post-operative
calls using phone numbers and names you provide us, as well as hospital interaction for booking surgical
services, confirmation of appointments via SMS or emails, sending results of diagnostic investigations via
email.
• Billing purposes, including compliance with Medicare and Health Insurance Commission requirements.
• Disclosure to others involved in your medical care, including treating doctors, specialists, hospital booking
staff outside this practice. This may occur through referral to other doctors, surgery at hospitals, for medical
tests and in the reports or results returned to us following the referrals.
Important
• I have read the information above and understand the reasons why my information must be collected.
• I am also aware that Bulimba Dermatology has a privacy policy on handling patient information.
• I understand that I am not obliged to provide any information requested but failure to do so might
compromise the quality of health and treatment provided to me.
• I am aware of my right to access the information collected about me, except in circumstances where access
might legitimately be withheld.
• I understand I will be given an explanation in these circumstances.
• I understand that if my information is to be used for any other purpose other than that set out above, my
further consent will be obtained.
• I consent to the handling of my information by Bulimba Dermatology for the purpose set out above, subject
to any limitations on access or disclosure that I notify this practice of.
• I understand that my personal information may go offshore, if I select email as a preferred mode of contact.
Please Note
Due to the privacy laws, results cannot be given to a third party unless written authorisation is obtained
or under special circumstances.