In order to provide and maintain comprehensive care to me and to abide by legal requirements, I CONSENT TO:
Ø the collection, use and disclosure of my personal health information in accordance with the Privacy Legislation.
Ø the sharing (collecting and disclosing) of my health information with all relevant person/s involved in my healthcare. These may include, for example, my doctor or health professionals, my family, other next of kin, an informal advocate or an authorised representative.
Ø the use of my information for data collection, research and education purposes, on the condition that all information will be de-identified prior to use.
I confirm that I have read and accept Active One Group's Cancellation Policy (less than 24 hrs notice).
