Health Information Collection and Use Consent Form: It is important that you provide us with your personal details and detailed medical history so we can appropriately assess, diagnose, treat and proactively manage your health care needs. We aim to protect the privacy and security of your health and personal information. You can request a copy of our privacy policy which includes information on the collection, use and disclosure of the information provided. This information may be used to facilitate:

• Patient administration by staff, nurses and doctors of Family Plus Medical Practice
• Billing purposes including your health insurance company, if required.
• Compliance with Medicare and government, legislative or regulatory authorities.
• Disclosure to other medical professionals including but not limited to doctors, specialists and other allied health practitioners within, and external to, our practice.
• Research and quality improvement activities associated with improving patient experience, community health or practice management. This information typically does not identify the patient and is used anonymously.
• For patient communication, reminder letters, referrals and appointment reminders.