Collection of Personal Information Statement
Personal and Health Information Collection Statement
Perform Podiatry Pty. Ltd. is an independent practice under the ownership of Perform Investment Trust
You may contact the Privacy Officer of Perform Podiatry Pty. Ltd. by writing to Jason Dunn, Shop 1, 320 Epsom Road Flemington, Victoria 3031, by emailing email@example.com or by calling Jason Dunn on 1800 911 660. You have the right to gain access to the information about you that is held by Perform Podiatry Pty. Ltd.
Perform Podiatry Pty. Ltd. needs to collect information about you for the primary purpose of providing quality treatment. In order to fully assess, diagnose and treat you, we need to collect some personal information from you. This information will also be used for the administrative purposes of running the practice such as billing you or through an insurer or compensation agency. Information will be used within the practice for handover if another practitioner provides you with assistance.
When Perform Podiatry Pty Ltd receives personal information in the form of a health professional referral, the individual that the referral relates to will be contacted by phone to informing that Perform Podiatry Pty Ltd has received a referral from their health professional. Should the individual indicate that they wish to seek services from Perform Podiatry Pty Ltd the referral will be kept on file with the individual’s verbal consent. Should the individual that the referral relates to indicate that they do not wish to seek services from Perform Podiatry Pty Ltd then the referral will be destroyed.
Should Perform Podiatry Pty Ltd be unable to contact the individual that the referral relates to, Perform Podiatry Pty Ltd will post the individual a letter informing them that a referral letter has been received from their health professional and requesting that if the individual wishes to seek the services of Perform Podiatry Pty Ltd that they book an appointment. Should the individual that the referral relates to not wish to seek services from Perform Podiatry Pty Ltd then the individual is requested to contact Jason Dunn, Privacy Officer at Perform Podiatry Pty Ltd by phone on 1800 911 660, e-mail firstname.lastname@example.org or in person or in writing at shop 1, 320 Epsom Road Flemington, Victoria 3031 to have their referral destroyed.
Perform Podiatry Pty. Ltd. may disclose information regarding diagnosis or treatment to your Doctor or other treatment providers only with your consent. In the case of insurance or compensation claims, it may be necessary to disclose information and/or collect information that affects your treatment and return to work. Perform Podiatry Pty. Ltd. will not disclose your information to commercial companies, however specific service or product information as deemed suitable for your management, may be forwarded to you by us, unless you instruct Perform Podiatry Pty. Ltd. not to forward this type of information. Your written consent will be obtained at the start of your treatment in order to carry out the above activities. We do not disclose your personal information to overseas recipients.
Information at Perform Podiatry Pty. Ltd. is stored securely and only practice staff and Perform Podiatry Pty. Ltd. contractors have access to it. Perform Podiatry Pty. Ltd. takes all reasonable steps to ensure that information collected about you is accurate, complete and up-to-date. You may have access to your information on request and if you believe that any of the information is inaccurate we may be able to amend it accordingly. If you do not provide relevant personal or health information, in part or in full, to Perform Podiatry Pty. Ltd. it may result in incomplete assessment. This may impact the diagnosis and the following therapy that is provided. Any concerns that you may have about this statement or about your management can be directed to Jason Dunn, Privacy Officer at Shop 1, 320 Epsom Road Flemington, Victoria 3031, by emailing email@example.com or by calling 1800 911 660.