When you come to our rooms for the first time, we ask you to sign a consent for which has been shortened for your ease of reading.

This is our full Privacy statement – (there is a different one for Workers Compensation).

We will use our email to send you information about our practice and also to send you or ask you other information, including account information. 


The privacy act (1998) requires medical practitioners to obtain consent from their patients to collect, use and disclose that patient’s personal information.

COLLECTION:  This means we will collect information that is necessary to properly advise and treat you.

Such necessary information may include

  • full medical history; family medical history; genetic information; ethnicity;
  • contact details;
  • Medicare/private health fund details; and
  • billing/account details.

The information will normally be collected directly from you.  There may be occasions when we will need to obtain information from other sources, for example:

  • other medical practitioners, such as former GP’s and specialists;
  • other health care providers, such as physiotherapists, occupational therapists, psychologists, pharmacists, dentists, nurses; and
  • hospitals and Day Surgery Units.

Both our practice staff and the medical practitioners may participate in the collection of this information.

In emergency situations, we may need to collect personal information from relatives or other sources where we are unable to obtain your prior express consent.

USE AND DISCLOSURE: With your consent, the practice staff with use and disclose your information for purposes such as:

  • account keeping and billing purposes;
  • referral to another medical practitioner or health care provider;
  • sending of specimens such as blood samples for analysis;
  • referral to a hospital for treatment and/or advice;
  • advice on treatment options;
  • the management of our practice;
  • quality assurance, practice accreditation and complaint handling
  • to meet our obligations of notification to our medical defence organizations or insurers;
  • to prevent or lessen a serious threat to an individual’s life, health or safety; and
  • where legally required to do so, such as producing records to court, mandatory reporting of child abuse or the notification of diagnosis of certain communicable diseases.

ACCESS: You are entitled to access your own health records at any time convenient to both yourself and the practice.  Access can be denied where:

  • to provide access would create a serious threat to life or health;
  • there is a legal impediment to access;
  • the access would unreasonably impact on the privacy or another;
  • your request is frivolous;
  • the information relates to anticipated or actual legal proceedings and you would not be entitled to access the information in those proceedings; and
  • in the interests of national security.

We ask that, where possible, your request be in writing.  We may impose a charge for photocopying or for staff time involved in processing your request.  Where you dispute the accuracy of the information we have recorded, you are entitled to correct that information.  It is our practice policy that we will take all steps to record all of your corrections and place them with your file but will not erase the original record.

CONSENT: I provide my consent for Dr Peter Terren and his staff, to collect, use and disclose my personal information as outlined above.

I understand that I am entitled to access my own health records except where access would be denied as outlined above.

I understand that I may withdraw my consent as to use and disclosure of my personal information (except when legal obligations must be met).