New Practice Member Form
Our new member form will take approximately 20 minutes to complete.
NOTIFICATION OF COLLECTION OF PERSONAL HEALTH INFORMATION
When you receive health services of any kind from this clinic, we collect individually identifying health information from you and share this within the clinic to provide you with health services. The individually identifying health information that you provide to us is collected, used and disclosed in accordance with the provisions of the Health Information Act (HIA), and is primarily used to provide diagnostic, treatment and care services to you (HIA s27(1)(a)). The privacy provisions of the legislation require that we protect your health information from unauthorized access, use, disclosure or destruction.
When you receive health services of any kind from this clinic, we collect individually identifying health information from you and share this within the clinic to provide you with health services. The individually identifying health information that you provide to us is collected, used and disclosed in accordance with the provisions of the Health Information Act (HIA), and is primarily used to provide diagnostic, treatment and care services to you (HIA s27(1)(a)). The privacy provisions of the legislation require that we protect your health information from unauthorized access, use, disclosure or destruction.