The main purpose for collecting your information is to provide the best possible health care. We must also comply with laws that require collection or disclosure of personal information about you. Please sign below to indicate you consent to your information being released if/when relevant to other medical practitioners who may be involved in your current treatment plan, for medical research or clinical audits. Please consent to communication via text message regarding appointment confirmations. Confidentiality is closely guarded. Information will not be used for any other purpose.