This clinic collects information from you for the primary purpose of providing quality health care. Federal Privacy Law requires your consent to this. We need your personal details and full medical history (which may include photographic records) so that we may properly assess, diagnose, treat and manage your health care needs. This means we will use the information you provide in the following ways:

1. Administrative purposes, including appointment confirmations via SMS or email.

2. Billing and compliance with Medicare and Health Insurance Commission requirements.

3. Referrals and disclosures to other doctors or specialists as needed for your care.

4. Sharing within this practice for training and patient care.

5. Emergency treatment access by authorised personnel.

• I have read the above information and understand the reasons why my information must be collected.

• I acknowledge that I am not obligated to provide any or all requested information. We fully respect your decision, and you will receive the same level of care regardless. However, I understand that withholding certain information may impact the quality of the health care and treatment I receive.

• I understand that I do not have to consent to the recording and use of my personal data, and that my decision will not affect the quality of care I receive.

• I am aware of my right to access the information collected about me, except in some circumstances where access might legitimately be withheld and that an explanation will be given to me in these circumstances.

• I understand that if my information is to be used for any purpose other than the above, this clinic will seek my consent prior.

• I consent to this clinic using my personal information in the ways outlined above.

• I consent to my non-identifiable treatment information being used for mandatory quality assurance activities, including clinician recertification and health service accreditation processes, managed by the Recertification in Colonoscopy Conjoint Committee (RCCC).

• I understand for security purposes the common area at this clinic is under video surveillance.

• I understand that my results may be communicated from the treating Doctor via SMS/email or phone to plan any associated treatment.

• I understand I am responsible for calling for my results if I have not received contact a week after my appointment.

• We take your privacy seriously and strive to protect your information with strong security measures. However, I understand that complete security against data breaches cannot be guaranteed, and our practice cannot be held liable for any unauthorised access to your data.