I hereby certify that to the best of my knowledge the information is correct.
Because my child is a minor, I give consent for his/her examination and treatment furthermore.
I will be responsible for any financial obligations incurred for my child’s treatment and also for incidental costs, and or legal fees necessary to recover the same. I am aware that accounts are to be finalised at every appointment.
Our practice respects your right to privacy. We realise that it is important that you understand the purpose for which we collect details about your health as well as how this information is used at our practice and to whom this information might be disclosed.
The Policy of our practice is to follow these procedures:
The information collected will be used for the purpose of providing treatment for you. Personal information such as your name, address and health insurance details will be used for the purpose of addressing accounts to you, as well as processing payments and writing to you about our services and any issues affecting your treatment.
We may disclose your health information to other health care professionals, including specialists we may refer to you, or require it from them if, in our judgment, that it is necessary in the context of your treatment. In that event, disclosure of your personal details will be minimised wherever possible.
We may also use parts of your health information for research purposes, in study groups or at seminars, as this may provide benefit to other patients. Should that happen, your personal identity will not be disclosed without your consent to do so. We may use your information with insurance officers or lawyers where the treatment relates to an insurance claim or complaint.
Your medical history, treatment records, x-rays and other material relevant to your treatment will be kept here. You may inspect or request copies of our records of your treatment at any time, or seek an explanation from the dentist. Statutory fees will apply in relation to the types of access you seek. We may obtain this information from other practitioners with you consent as part of this ongoing care.
If any other information we have about you is inaccurate, you may ask us to alter our records accordingly.
You can otherwise rest assured that your health information will be treated with the utmost confidentiality. Disclosure will not be made to any person not involved in either your treatment or the administration of this practice, without your prior written consent. The practice will not adopt, use or disclose an identifier assigned by any government agency except health care identifiers for purposes permitted under the Healthcare Identifiers Act (2010)(Cwth). If you have any queries or concerns about our handling of your health information, please do not hesitate to raise these concerns with our practice.