As part of providing a psychological service to you, The Mindful Hub needs to collect and record personal information from you that is relevant to your situation, such as the information filled out above. This collection of personal information will be a necessary part of the psychological assessment and treatment that is conducted.
A detailed description of how your personal information is managed, how you can access your personal information, and how to lodge any concerns or complaints about this service or how your personal information is managed must be provided to you by your health professional on request or can be found here: https://themindfulhub.com.au/privacy-policy/.
Disclosure of personal information
Personal information gathered as part of this service will remain confidential except when:
it is subpoenaed by a court; or
failure to disclose the information would place you or another person at serious risk to life, health or safety; or
your prior approval has been obtained to
provide a written report to another professional or agency. e.g., a GP or a lawyer; or
discuss the material with another person, eg. a parent, employer or health provider; or
disclose the information in another way; or
you would reasonably expect your personal information to be disclosed to another professional or agency (e.g. your GP) and disclosure of your personal information to that third party is for a purpose which is directly related to the primary purpose for which your personal information was collected; or
disclosure is otherwise required or authorised by law.
Provision of a telehealth service
Where appropriate the service may be provided by telephone or videoconferencing. You are responsible for the costs associated with setting up the technology needed so you can access telehealth services. The Mindful Hub will be responsible for the cost of the call to you and the cost associated with the platform used to conduct telehealth services.
To access telehealth consultations you will need access to a quiet, private space; and the appropriate device, i.e. smartphone, laptop, iPad, computer, with a camera, microphone and speakers; and a reliable broadband internet connection.
The privacy of any form of communication via the internet is potentially vulnerable and limited by the security of the technology used. To support the security of your personal information this practice uses Power Diary Telehealth and/or Zoom, which is compliant with the Australian standards for online security and encryption.
Limitations of telehealth
A telehealth consultation may be subject to limitations such as an unstable network connection which may affect the quality of the therapy session. In addition, there may be some services for which telehealth is not appropriate or effective. Your practitioner will consider and discuss with you the appropriateness of ongoing telehealth sessions.
Consultation costs can be found here: https://themindfulhub.com.au/services/
The cost of a consultation is payable at the the time of booking via website bookings or by credit card if booking by request. Your practitioner will discuss with you your eligibility for Medicare or other compensable funding.
If you need to cancel or postpone your appointment, please give the psychologist at least 24 hours notice. If a client is a 'no show' for their scheduled appointment or cancels within 24-hours of the scheduled appointment, the client will be charged 50% of the appointment fee.
Consent to receive psychological services by telehealth
I have been provided with information about the service including the limitations to privacy and confidentiality and I have agreed that in circumstances where the psychologist is concerned about my welfare and is unable to contact me permission is provided for the psychologist to contact the emergency contact listed above.
I, * * have read and understood the information in this Consent Form and have discussed any outstanding questions with the practice. I agree to the above conditions for telehealth psychological services to be provided by practitioners of The Mindful Hub.
Client signature * *