Collection notice – website appointment booking form
We collect the personal information in this form so that we can contact you to arrange an appointment and send you reminders about your appointment. We may also use those details in future to contact you regarding further appointments or treatment. We will not use those details for any other purpose. We will not disclose those details to any third party. We will not store or disclose those details outside Australia. Our privacy policy contains information on how you may seek access to or correction of personal information we hold about you, or make a complaint about the handling of your personal information.
Collection notice – book appointment button
We collect the personal information provided by you when you make an appointment booking request and/or query so that we can contact you to arrange an appointment and send you reminders about your appointment. We may also use those details in future to contact you regarding further appointments or treatment. We will not use those details for any other purpose. We will not disclose those details to any third party. We will not store or disclose those details outside Australia. Our privacy policy contains information on how you may seek access to or correction of personal information we hold about you, or make a complaint about the handling of your personal information.
Collection notice – new patient registration form
We collect personal information about you in this form. In the course of providing you with medical advice and treatment, we may collect additional personal information about you directly from you, and indirectly from your GP and other health care providers involved in your care. Additionally, we may collect personal information about you from your My Health Record, Medicare, your health insurer, the Department of Veterans’ Affairs and the Pharmaceutical Benefits Scheme.
We collect this personal information so that we can: (a) provide you with medical advice and treatment; (b) refer you to other providers; (c) contact you or your next of kin regarding appointments, your treatment and follow up; and (d) administer and arrange payment for our services. We may also use de-identified information to review and improve our services. By providing the consents requested below, you also consent to us using your personal information as described below. We will not use your personal information for any other purpose.
We may disclose your personal information for the above purposes to: (i) your GP or other health care providers involved in your care; (ii) Medicare or your health insurer; and (iii) contractors who provide services (such as administrative, archiving, communications, information technology and professional services) to us in support of our practice. By providing the consents requested below, you also consent to us disclosing your personal information as described below. We will not store or disclose your personal information outside Australia.
Research is regularly carried out by medical specialists to assist in developing better treatment for diseases. Dr Moloney may contribute information relating to your condition or treatment to the Queensland Centre for Gynaecologic Cancer (QCGC) to be used for research, education, audit and publication purposes. All identifying details will be redacted from reports or publication to preserve anonymity. Please indicate whether you consent for your personal information to be disclosed for this purpose (please circle): YES / NO
In order to ensure the highest level of evidence-based care, your case may be discussed with other health care providers, including discussion in multi-disciplinary forum such as radiology and/or tumour board meetings. Please indicate whether you consent for your personal information to be disclosed for this purpose (please circle): YES / NO
It may be necessary to take clinical photographs for the purposes of research, education and quality-assurance. Clinical photographs will not include identifying details. Dr Moloney will discuss the role of clinical photography specific to your healthcare needs with you, as required. Please indicate whether you consent to the collection and storage of clinical photographs (please circle): YES / NO
Please indicate whether you agree to receive communication via email and text message (please circle): YES / NO
Our privacy policy (located at www.drkristenmoloney.au/privacy-policy) contains information on how you may seek access to or correction of personal information we hold about you, or make a complaint about the handling of your personal information.