Privacy PolicyPlease fill and submit the below form prior to your appointment. We respect your right to privacy. Please read our privacy policy before writing 'I agree' along with your full name and the date in the section below. The above information is collected for the purpose of providing treatment to you or your child. Personal information such as your name, address and health insurance details will be used for the purpose of addressing information and accounts to you, processing payments and communicating relevant information regarding treatment. We may disclose your health information to other healthcare professionals or request it from them if, in our judgement, this is necessary in the context of your treatment. 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 benefit other patients. In this instance, your personal details will not be disclosed without your consent. Your patient history, treatment records, x-rays and other relevant material will be kept on your file, and you may request copies of treatment records at any time. For printed copies, a fee may apply. For an explanation of your records or a written summary, a consultation fee may apply. If any of the infomration we have is inaccurate, please request that we alter your 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. If you have any questions about how we handle your health information, please raise your concerns with practice staff. * Please write 'I agree' along with the date and your full name, in confirmation of your understanding of our privacy policy. Thank you!
