REFFERALS:
It is the patient's responsibility to ensure that a valid referral is provided and remains current at the time of each appointment.
Referrals from a General Practitioner (GP) are valid for twelve (12) months from the date of issue.
Referrals from a Specialist are valid for three (3) months from the date of issue.
Patients who do not have a valid referral at the time of their appointment may be required to pay the full consultation fee without Medicare rebate eligibility.
Please contact reception if you are uncertain about the validity of your referral.
SURGERY:
Should surgical treatment be recommended, Dr Manisha Doohan operates at:
• South Perth Hospital
• St John of God Murdoch Hospital
An Estimate of Costs will be provided following your consultation. The estimate is intended as a guide only and may vary depending on the procedure performed, hospital requirements, pathology, radiology, anaesthetic fees, prostheses and any unforeseen clinical circumstances.
Patients should be aware that separate accounts may be issued by the hospital, anaesthetist, assistant surgeon, pathology providers, radiology providers and any other healthcare practitioners involved in their treatment. These fees are determined independently by the relevant provider and are separate from Dr Manisha Doohan's consultation and surgical fees.
While every effort will be made to provide accurate information regarding anticipated costs, Dr Manisha Doohan and the practice do not control or accept responsibility for fees charged by third-party providers. Patients are encouraged to make their own enquiries regarding private health insurance coverage, Medicare rebates and any potential out-of-pocket expenses prior to proceeding with treatment.
DECLARATION – TO BE SIGNED BY ALL PATIENTS:
Appointments
If I am unable to attend my appointment, I agree to provide a minimum of three (3) business days' notice to cancel or reschedule.
If less than three (3) business days' notice is provided, I acknowledge that a late cancellation fee of $70 may be charged.
If I fail to attend my appointment without notice, I acknowledge that a non-attendance fee of $170 may be charged.
If I arrive more than fifteen (15) minutes late, I understand that my appointment may need to be rescheduled and cancellation fees may apply at the discretion of the practice.
If I reschedule my appointment on two occasions, I understand that I may be discharged from the practice and required to obtain a new referral from my GP before further appointments can be made.
Outstanding Accounts
Consultation fees are payable on the day of attendance unless prior arrangements have been approved by the practice.
I understand that Medicare rebates, where applicable, are processed separately and are subject to Medicare eligibility requirements.
If my account remains outstanding for more than sixty (60) days, I agree to be responsible for any reasonable costs incurred in recovering the debt, including debt collection agency fees, legal costs and administrative expenses.
Communication
I consent to being contacted by telephone, SMS, email or post regarding appointments, test results, accounts and other matters relating to my care.
I acknowledge that electronic communications may not always be secure and accept the risks associated with electronic communication.
Third Party Fees
I understand that fees charged by hospitals, anaesthetists, assistant surgeons, pathologists, radiologists, laboratories, imaging providers and other healthcare practitioners involved in my care are separate from Dr Manisha Doohan's consultation and procedural fees.
These fees are determined independently by the relevant provider and are not controlled by Dr Manisha Doohan or the practice.
Any estimates provided by the practice regarding third-party fees are provided as a guide only and may be subject to change without notice.
I acknowledge that I am responsible for making my own enquiries regarding third-party fees, Medicare rebates, private health insurance coverage and any out-of-pocket expenses associated with my treatment.
Dr Manisha Doohan and the practice accept no responsibility for accounts rendered by third-party providers involved in my care.
PRIVACY ACT 1988 – CONSENT TO COLLECTION, USE AND DISCLOSURE OF PERSONAL INFORMATION
The Privacy Act 1988 and Australian Privacy Principles require healthcare providers to obtain consent for the collection, use and disclosure of personal information.
COLLECTION OF INFORMATION
To provide appropriate medical care, we collect information including but not limited to:
• Medical history
• Surgical history
• Family medical history
• Medication history and allergies
• Ethnicity and demographic information
• Contact details
• Medicare and/or private health insurance details
• Genetic information
• Billing and account information
• Investigation results and reports
Information is generally collected directly from you. Where necessary, information may also be obtained from:
• General Practitioners
• Medical Specialists
• Hospitals and day surgery facilities
• Pathology and radiology providers
• Allied health practitioners
• Pharmacists and other healthcare providers involved in your care
Both clinical and administrative staff may participate in the collection and management of this information.
In emergency situations, information may be obtained from relatives, carers or other appropriate sources where obtaining prior consent is impracticable.
USE AND DISCLOSURE INFORMATION
With your consent, your personal information may be used and disclosed for purposes including:
• Provision of medical assessment, advice and treatment
• Referral to other healthcare providers
• Hospital admission and surgical booking
• Obtaining specialist opinions
• Pathology, radiology and other diagnostic services
• Billing and account management
• Practice administration
• Quality assurance and accreditation activities
• Complaint management
• Medical indemnity insurance requirements
• Reducing or preventing a serious threat to life, health or safety
• Compliance with legal and regulatory obligations, including mandatory reporting and court orders
Personal information will not be disclosed to third parties for purposes unrelated to your healthcare unless authorised by you or required by law.
ACCESS TO HEALTH RECORDS
You may request access to your health records in accordance with applicable privacy legislation.
Access may be refused where:
• Access would pose a serious threat to the life, health or safety of any person
• Access would unreasonably impact the privacy of another individual
• Access is prohibited by law
• The request is frivolous or vexatious
• The information relates to existing or anticipated legal proceedings
• Access would prejudice law enforcement activities or national security
Requests for access should preferably be made in writing.
Reasonable administrative fees may apply for copying, printing or preparing records.
If you believe information held by the practice is inaccurate, incomplete or out of date, you may request a correction. Original medical records will not be altered; any amendments or clarifications will be added to the medical record.