Logo

Our Vision Statement

"We deliver excellence in physiotherapy and allied health services. Our professional and caring staff work together to improve your quality of life".

Our Committment to your Privacy

Patients are asked to complete the following form at the time of their initial consultation authorisation any discussion of their condition. Without this authoriastion our physiotherapists are bound under thr Health Privacy Act not to discuss your injury with anyone

New requirements under the Health Privacy Act state that we now require your consent to collect information about you. Please read this information carefully, and sign where indicated below.

Physiohealth collects information from you for the primary purpose of providing quality health care. We require you to provide us with your personal details and a full medical history, so that we may properly assess, diagnose, treat and be proactive in your health care/physiotherapy needs. This means we will use the information you provide in the following ways:

  1. Administration purposes in running our practice
  2. Billing purposes, including compliance with Health Insurance Commission requirements
  3. Relating your information to others involved in your care, including treating doctors and specialists outside this practice. This may occur through referral to other doctors, or for medical tests and in the reports or results returned to use following referrals.
  4. Relating of information to other physiotherapists in this practice is for the purpose of patient care. Please let us know if you do not want your records accessed for these purposes and we will note this in your record accordingly.


I have read the information above and understand the reasons why my information must be collected. I am also aware that this practice has a privacy policy on handling patient information.

I understand that I am not obliged to provide any information requested of me, but that my failure to do so might compromise the quality of health care treatment given to me.

I am aware of my right to access the information collected about me except in some 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 purposes other than that set out above, my further consent will be obtained.

I consent to the handling of my information by Physiohealth for the purposes set out above, subject to any limitations on access or revelation that I notify this practice of.

Signed: ............................................................... Date: ..............................

Call us to make an appointment:
(03) 9379 3716
Or click to use our online appointment request form.
• Treatment   • Knowledge   • Experience
Send this page to a friend

Send this page to a friend

The address of this page will be sent to your friend in an email, where the link will enable him/her to come to this page easily. Details you provide are used this one time only and are not stored.

Captcha
Type the characters you see in the image. This will verify that you are a human visitor and not an automated form submitter.

Read the disclaimer
Disclaimer:
We do not warrant or represent that the information in this site is free from errors or omissions or is suitable for your intended use. We recommend that you seek individual advice before acting on any information in this site. We have made every effort to ensure that the information on our website is correct at the time of publication but recommend that you exercise your own skill and care with respect to its use. If you wish to purchase our services, please do not rely solely on the information in this website.
Disclaimer:
We do not warrant or represent that the information in this site is free from errors or omissions or is suitable for your intended use. We recommend that you seek individual advice before acting on any information in this site. We have made every effort to ensure that the information on our website is correct at the time of publication but recommend that you exercise your own skill and care with respect to its use. If you wish to purchase our services, please do not rely solely on the information in this website.

Printed from http://physiohealth.com.au/about-us/our-guarantee

Membership benefits

  • Access to health, lifestyle and fitness related articles, discover ways to live a longer, healthier and fuller life.
  • Receive a free subscription to our newsletters and notification when new and interesting material is added to our website.
  • Receive valuable members-only offers from us.

Become a member

Member login

Lost your password?

Retrieve lost password

Back to login form