Patient Info
Please fill out the form below or
download our Patient Information Sheet
Please download our Referral Form
Please fill out the form below or
download our Patient Information Sheet
Please download our Referral Form
I provide my consent for Dr Ross Goodheart to collect, use and disclose my personal information as outlined in our privacy policy.
I provide consent for results to be sent to my referring doctor.
I provide consent for messages to be left with immediate family members/partner (eg appointment confirmation).
I understand that I am entitled to access my own health records except where access would be denied as outlined (see privacy policy overleaf for details).
I understand that I may withdraw my consent for use and disclosure of my personal information (except when legal obligations may be met).
WEBSITE DISCLAIMER
The information provided by Dr Ross Goodheart (“we”, “us”, or “our”) on rossgoodheart.com.au (the “Site”) and our mobile application is for general informational purposes only. All information on the Site and our mobile application is provided in good faith, however we make no representation or warranty of any kind, express or implied, regarding the accuracy, adequacy, validity, reliability, availability or completeness of any information on the Site or our mobile application.
UNDER NO CIRCUMSTANCE SHALL WE HAVE ANY LIABILITY TO YOU FOR ANY LOSS OR DAMAGE OF ANY KIND INCURRED AS A RESULT OF THE USE OF THE SITE OR OUR MOBILE APPLICATION OR RELIANCE ON ANY INFORMATION PROVIDED ON THE SITE AND OUR MOBILE APPLICATION. YOUR USE OF THE SITE AND OUR MOBILE APPLICATION AND YOUR RELIANCE ON ANY INFORMATION ON THE SITE AND OUR MOBILE APPLICATION IS SOLELY AT YOUR OWN RISK.
This is the privacy policy for Dr Ross Goodheart. The Privacy Act 1988 requires medical practitioners to obtain consent from their patients to use or disclose the patient’s personal information. This policy outlines how we will collect, store and use your medical information to provide you with the best possible medical care.
COLLECTION:
The information will normally be collected directly from you. There may be occasions when we need to obtain information from other sources, for example:
USE AND DISCLOSURE:
DATA SECURITY:
Information is stored securely in our office. Computer information is password protected. The records will be stored for the time advised or required by law.
ACCESS AND CORRECTION:
The Privacy Legislation gives you a right of access to information in your records recorded or referred to after 21/12/2001. This request must be made in writing.
Access can be denied where:
ANONYMITY:
On request patients have a right to request that they be treated anonymously where this is practical and lawful.
SENSITIVE INFORMATION:
Sensitive information will only be collected with the patients consent, or where it is required by law or in other special specified circumstances.