Practice Privacy Policy
This practice is, as a health provider in the private sector, bound by the National Privacy Principles and the Health Records and Information Privacy Act 2002
(NSW). These Principles set the standards by which personal information is collected from patients. A copy of these Principles is available from the Department of Health or the Australian Medical Association.
As part of your treatment, it is usual to write to your referring Doctor, the Physiotherapist involved in your care, and any other Specialists you are referred to, including imaging results, etc.
In the case of compensation matters, it may be necessary to write to the Insurers, Solicitor, Employer and/or rehabilitation provider. As outlined in the guidelines above, only the necessary information will be released.
For quality assurance and research, information may be extracted from your record and held on a specific secure database on occasion. It may be necessary for us to contact you for an ongoing assessment.
Unless otherwise indicated
I HEREBY AUTHORISE THE RELEASE OF MY MEDICAL HISTORY TO MY FAMILY DOCTOR/INSURANCE COMPANY/SOLICITOR (WHERE APPLICABLE).
I HAVE READ AND UNDERSTAND THE FEE AND CANCELLATION POLICY https://www.drdavidsamra.com.au/fee-page
I AGREE TO TAKE RESPONSIBILITY FOR THE PAYMENT OF ALL ACCOUNTS, PRIVATE OR INSURANCE.