Your Personal Health Information and your Health Record may be collected, used and disclosed for the following reasons: For communicating with other treating medical professions, for follow-up/reminder calls, for discussion with third party insurers, accounting/Medicare/health insurance procedures, disease notification as required by law, for use by all physiotherapists in this practice when consulting with you and for legal disclosure as required by a court of law.
If you have any concerns or wish to restrict access to your information please discuss these with your physiotherapist or receptionist. This practice adheres to national Privacy Principles (www.privacy.gov.au) and has a written policy available for your perusal.
Your “Informed Consent” is required for all treatment provided by this practice.
If you have a Pension or HCC (low income) card please present to reception for discount.
As a Physiotherapy practice providing comprehensive care, we focus on your ability to be healthy. Our goals are: firstly, to address the issues that brought you to this practice; secondly, to treat the cause of your condition (not just treat the symptoms or place a temporary patch over your condition); and thirdly, to offer you the opportunity of improved health potential and wellness services in the future. On a daily basis we experience physical, chemical and emotional stresses that can accumulate and result in serious loss of health. Most times the effects are gradual: not even felt until they become serious. Answering the following questions will give us a profile of your health.
By Signing this consent form, I agree that: I understand that the benefits of telehealth/video conferencing therapy sessions can include
I also understand that there are potential risks and down sides of telehealth/video conferencing therapy sessions, and that these can include:
I understand that my physiotherapist is taking the necessary precautions to ensure confidentially including:
I have been informed of and understand the payment/medicare processes for my telehealth session, and consent to comply with these.
I understand that i can ask question about the telehealth sessions at any time.
Please Fill out form below. alternative Contact us directly as we are always happy to answer any questions you may have or if you wish to arrange an appointment.
9 Breed St. Traralgon
Shop 1 & 2 Shaw’s Arcade36 George St. Moe