• Rapid Medical Access for Injuries for LGFA Members

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    • Personal Information

    • Date of Birth*
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    • Rapid Medical Access for Injuries for LGFA Members

    • Next of Kin

    • Format: (000) 000-0000.
    • Rapid Medical Access for Injuries for LGFA Members

    • Medications

    • Are you currently taking any medications?*
    • Medical Conditions

    • Do you have any medical conditions?*
    • Allergies

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    • Rapid Medical Access for Injuries for LGFA Members

    • About Injury

    • Rapid Medical Access for Injuries for LGFA Members

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    • Rapid Medical Access for Injuries for LGFA Members

    • Consent to Share Medical Information

    • To support your ongoing care, Dooctor.ie may need to share relevant medical records, reports, referral letters, test results, and other healthcare information with third-party healthcare providers involved in your treatment and care. Do you consent to Dooctor.ie sharing your relevant medical information with other healthcare providers for the purpose of your continuous care and treatment?*
    • Rapid Medical Access for Injuries for LGFA Members

    • Consent to Receive Communications

    • Dooctor.ie may contact you by SMS, email, telephone, or other electronic means regarding appointments, test results, prescriptions, referrals, healthcare services, and other matters related to your care.Do you consent to receiving communications from Dooctor.ie by SMS and/or email?Do you consent to Dooctor.ie sharing your relevant medical information with other healthcare providers for the purpose of your continuous care and treatment?*
    • Rapid Medical Access for Injuries for LGFA Members

    • Please Agree To Our Policies

      • GDPR 
      • Patient consent for processing of health data

         

        To assist with your care, we at Dooctor.ie need to collect personal data about you. This information will include details of your health and your treatments. We may also need to record additional information that while may not seem to relate directly to your health it would help in our treatment of you. Examples of this kind of information would include things like your age, gender, marital status, number of children you have, your nationality, your employment status, religion, prison sentences. Our policy is only to collect and record information about you that helps in your treatment.

         

        Declaration

        I understand my health information will be seen or shared only with medical and administrative staff involved in my care or where Dooctor.ie is required to do so by law.

        I understand that for the purposes of my treatment administrative staff may have to access my health data. Reasons for this access would include the re-issuance of prescriptions, the opening of letters and recording of information from hospitals about me, downloading and saving in my file results from laboratories, typing of letters to hospitals and other similar health related issues.

        I understand that all Dooctor.ie staff sign a confidentiality agreement that binds them not to disclose my details to any unauthorised persons not involved in my care.

        I understand that any health data shared outside of the practice for the purposes of my health treatment will, normally, be limited to information related to a particular treatment and not my entire file.

        I understand that my health data will be stored primarily on a secure database operated by a specialist company called Medrexo and I understand that Medrexo are only allowed process my health data under Dooctor.ie instructions.

        I understand the law provides that in certain instances personal health information can be disclosed, e.g. in the case of some infectious diseases.

        I understand that Dooctor.ie will only release information to, for instance solicitors or insurance companies, at my express request.

        I understand that I can withdraw consent for processing of my personal health data at any time.

      • Agree to Private Policy 
      • Patient Consent for Processing of Health Data

        To assist with your care, Dooctor.ie is required to collect and process personal information about you. This may include details relating to your health, medical history, treatment, prescriptions, appointments, test results and any other information necessary to support your care.

        We may also need to record additional personal information which may not appear directly related to your health but may be relevant to your treatment or care pathway. This may include information such as your age, gender, marital status, family circumstances, nationality, employment status, religion, or other relevant background information.

        Dooctor.ie’s policy is to only collect and record information that is necessary, relevant and appropriate for the provision of your care.


        Declaration
        By ticking the consent box, I confirm that I understand and agree to the following:

        I understand that my health information will only be accessed, viewed or shared by medical, clinical and administrative staff involved in my care, or where Dooctor.ie is legally required to disclose such information.

        I understand that, for the purposes of my treatment and care, administrative staff may need to access my health data. This may include tasks such as reissuing prescriptions, opening and recording correspondence, saving laboratory results to my file, processing hospital letters, preparing referral letters and carrying out other healthcare-related administration.

        I understand that all Dooctor.ie staff are required to maintain confidentiality and are bound not to disclose my personal or health information to any unauthorised person who is not involved in my care.

        I understand that where my health data is shared outside Dooctor.ie for the purposes of my treatment, this will normally be limited to the information required for that specific treatment, referral, test or service, and not my entire medical file.

        I understand that my health data will be stored primarily on a secure database operated by Medrexo, a specialist healthcare software provider. I understand that Medrexo may only process my health data under the instructions of Dooctor.ie.

        I understand that the law may require personal health information to be disclosed in certain circumstances, for example in the case of some infectious diseases or where otherwise required by law.

        I understand that Dooctor.ie will only release my information to third parties such as solicitors, insurance companies or other external organisations at my express request, unless disclosure is otherwise required by law.

        I understand that I can withdraw my consent for the processing of my personal health data at any time. I also understand that withdrawing consent may affect Dooctor.ie’s ability to continue providing certain services to me.


        Consent Confirmation

        I confirm that I have read and understood the above information and I consent to Dooctor.ie collecting, storing and processing my personal and health information for the purposes of providing healthcare, treatment, referrals, prescriptions, testing, results management and related administrative services.

      • Terms of Use 
      • Dooctor.ie Consent, Terms & Conditions and Privacy Notice

        Welcome to Dooctor.ie.

        Dooctor.ie is operated by Symbioxis Healthcare Ltd. By using our website, booking a service, submitting a form, or attending an appointment, you confirm that you have read, understood and agreed to the terms, conditions, privacy information and consent statements set out below.


        1. Website Use
        By accessing or using the Dooctor.ie website, located at https://dooctor.ie/, you agree to comply with these terms and conditions. If you do not agree with these terms, you should not continue to use the website or associated services.

        The terms “You”, “Your” and “Patient” refer to the person using the website, booking a service, submitting a form, or attending an appointment. The terms “Dooctor.ie”, “We”, “Us” and “Our” refer to Symbioxis Healthcare Ltd and its associated service providers.


        2. Consent to Services
        By submitting this form, I confirm that the information I provide is accurate to the best of my knowledge.

        I understand that Dooctor.ie may use the information I provide to process my booking, deliver healthcare-related services, communicate with me regarding my appointment, manage payment and refunds where applicable, and support the safe administration of my care.

        Where relevant to the service being provided, I consent to Dooctor.ie collecting and processing personal information and health-related information necessary to provide the requested service.


        3. Privacy and Personal Data
        Dooctor.ie may collect personal details such as name, contact information, date of birth, appointment information, payment details and relevant health information.

        This information may be used for:

        Processing bookings and payments
        Providing healthcare or administrative services
        Communicating appointment details or follow-up information
        Managing patient records
        Meeting legal, regulatory, clinical or insurance requirements
        Improving the quality and safety of our services
        Your information will only be accessed by authorised personnel and relevant service providers where required for the delivery of your service.


        4. Health Information
        I understand that health information may be sensitive personal data and may be required to safely provide healthcare, screening, testing, consultation or referral services.

        Where applicable, I consent to the processing of my health information by Dooctor.ie and approved healthcare partners, clinicians, laboratories, referral providers or administrative staff involved in delivering the service.

        I understand that information may be shared where necessary for clinical, legal, insurance, safety or regulatory reasons.


        5. Cookies
        Dooctor.ie may use cookies to improve website functionality and user experience. Cookies may help the website operate correctly and may allow certain features to function properly.

        By using the website, you agree to the use of cookies in line with the Dooctor.ie Privacy Policy.


        6. Intellectual Property
        Unless otherwise stated, all website content, branding, text, images, graphics and materials on Dooctor.ie are owned by Dooctor.ie, Symbioxis Healthcare Ltd, or its licensors.

        You may access website material for personal use only. You must not copy, reproduce, republish, sell, rent, distribute or reuse website content without written permission.


        7. Refund Policy
        Patients are entitled to a full refund where Dooctor.ie is unable to provide the booked service, or where an appointment is cancelled at least 48 hours in advance of the scheduled appointment time.

        To request a refund, please email info@dooctor.ie with your booking details. Approved refunds will be processed to the original payment method.


        8. Website Links and Third-Party Content
        Dooctor.ie may include links to third-party websites or services. We are not responsible for the content, accuracy, availability or privacy practices of external websites.

        Any third-party links are provided for convenience only and do not imply endorsement unless clearly stated.


        9. Limitation of Liability
        Dooctor.ie aims to keep website information accurate and up to date. However, we do not guarantee that all website content will always be complete, accurate or available.

        To the maximum extent permitted by law, Dooctor.ie is not liable for loss or damage arising from the use of the website, reliance on website content, or temporary unavailability of the website.

        Nothing in these terms excludes liability where it cannot legally be excluded.


        10. Consent Confirmation
        By ticking the consent box on this form, I confirm that:

        I have read and understood the Dooctor.ie Terms & Conditions, Privacy Notice and Consent information.
        I consent to the collection and processing of my personal information for the purpose of providing the service I have requested.
        Where applicable, I consent to the processing of health-related information necessary for my care, appointment, test, consultation or referral.
        I understand that I may contact Dooctor.ie if I have questions about how my information is used.
        I understand that refund requests must be made in accordance with the refund policy above.
        I agree to the Dooctor.ie Terms & Conditions, Privacy Notice and Consent Statement.

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