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Patient Information

Emergency Contact Person/Next of Kin

Third Party Consent

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Do you give permission for ALL RESULTS (x-rays, blood tests, etc.) to be given to a nominated person on your behalf if they call?

If YES, please fill in the following details:

Medical History

Policies and consent

This practice has produced a Privacy Policy, Appointment Policy and Consent Form that outlines the way we collect and use your information and how you can access that information. Please read the information below before submitting:

INTRODUCTION
 

We are committed to protecting the privacy of patient information and to handling your personal information in a responsible manner in accordance with the Privacy Act 1988 (Commonwealth), the Privacy Amendment (Enhancing Privacy Protection) Act 2012, the Australian Privacy Principles and relevant State and Territory privacy legislation (referred to as privacy legislation).

This Privacy Policy explains how we collect, use and disclose your personal information, how you may access that information and how you may seek the correction of any information. It also explains how you may make a complaint about a breach of privacy legislation.

This Privacy Policy complies with all applicable guidelines, codes of conduct, and laws relating to privacy and confidentiality. From time to time, we may make changes to this policy, processes and systems in relation to how we handle your personal information. We will update this Privacy Policy to reflect any changes. Those changes will be available on The Bubble website and in the practice.

COLLECTION

We collect information that is necessary and relevant to provide you with medical care and treatment, and management of the medical practice. This information includes your name, address, date of birth, gender, health information, family history, and contact details. This information may be stored on the computer medical records system.
 

Wherever practicable we will only collect information from you personally. However, we may also need to collect information from other sources such as treating specialists, radiologists, pathologists, hospitals and other health care providers. We collect information in various ways, such as over the phone or in writing, in person in the practice or over the internet if you transact with us online. This information may be collected by medical and non-medical staff. In emergency situations we may also need to collect information from your relatives or friends.

We are required by law to retain medical records for certain periods of time depending on your age at the time we provide services.

USE AND DISCLOSURE

We will treat your personal information as strictly private and confidential. We will only use or disclose it for purposes directly related to your care and treatment, or in ways that you would reasonably expect that we may use it for your ongoing care and treatment. For example, the disclosure of blood test results to your specialist or requests for x-rays. There are circumstances where we may be permitted or required by law to disclose your personal information to third parties. For example, to Medicare, Police, insurers, solicitors, government regulatory bodies, tribunals, courts of law, hospitals, or debt collection agents. We may also from time to time provide de-identified statistical data to third parties for research purposes with approved privacy policies.

We may disclose information about you to outside contractors to carry out activities on our behalf, such as an IT service provider, solicitor or debt collection agent. We impose security and confidentiality requirements on how they handle your personal information. Outside contractors are required not to use information about you for any purpose except for those activities we have asked them to perform.

DATA QUALITY AND SECURITY

We will take reasonable steps to ensure that your personal information is accurate, complete, up to date and relevant. For this purpose, the staff may ask you to confirm that your contact details are correct when you attend a consultation. We request that you let us know if any of the information we hold about you is incorrect or out of date.

Personal information that we hold is protected by:

  • securing the premises;
  • placing passwords and varying access levels on databases to limit access and protect electronic information from unauthorised interference, access, modification and disclosure; and
  • Security training is conducted with all staff – personal signed documents are signed by all staff stipulating the confidentiality requirements.

CORRECTIONS

If you believe that the information, we have about you is not accurate, complete or up-to-date, we ask that you contact us in writing (see details below).

ACCESS

You are entitled to request access to your medical records. We request that you put your request in writing and we will respond to it within a reasonable time.

There may be a fee for the administrative costs of retrieving and providing you with copies of your medical records.

We may deny access to your medical records in certain circumstances permitted by law, for example, if disclosure may cause a serious threat to your health or safety. We will always tell you why access is denied and the options you have to respond to the decision.

COMPLAINTS

If you have a complaint about the privacy of your personal information, we request that you contact us in writing. Upon receipt of a complaint, we will consider the details and attempt to resolve it in accordance with the complaints handling procedures.

If you are dissatisfied with our handling of a complaint or the outcome you may make an application to the Australian Information Commissioner or The Tasmanian Office of the Ombudsman and Health Complaints Commissioner.

OVERSEAS TRANSFER OF DATA

We will not transfer your personal information to an overseas recipient unless we have your consent or we are required to do so by law.

CONTACT

Please direct any queries, complaints, requests for access to medical records to:

Attn: The Practice Manager 
The Bubble Launceston
4/23 Brisbane Street
Launceston TAS 7250

LATE ARRIVALS, MISSED APPOINTMENTS AND CANCELLATIONS
We value our clients’ and our team member’s time. Whilst we understand unexpected things and emergencies sometimes happen, late notice cancellations or not arriving at your appointment impacts your progress, our ability to provide you a service, and other clients who may be waiting to attend an appointment. To help you keep your appointment, we will send an SMS reminder 2 business days prior asking that you reply by SMS or return phone call. Please remember that if for some reason you do not receive your reminder, your appointment remains your responsibility to attend, reschedule or cancel.


If you need to cancel or reschedule your appointment after receiving your SMS reminder, we are of course understanding of this and will cancel or reschedule your appointment. Therefore, if you have an appointment scheduled for 9:30am Tuesday you will be required to cancel or reschedule your appointment by 9:30am Friday to avoid late cancellation fees. If you have not arrived within 10 minutes of your appointment start time, your appointment may need to be shortened (if appropriate) or cancelled, and fees will apply as below. In the event your appointment is shortened but you still attend, you will still be responsible for the full appointment amount, but your rebate (if you are eligible for one) may be a lower amount.
In the event of recurrent missed and cancelled appointments, we also reserve the right to charge a non-refundable deposit before making another appointment. Please understand that we consider this a last resort, with the real motivating factor being our concern for the quality of service we are able to provide to you and to other valued patients.


In the event where you do not attend your appointment, this will result in a ‘non-attendance’ fee. Thereafter subsequent appointments will
require a non-refundable deposit before making future appointments.
The following fees apply:

  • Non-attendance – full fee applies
  • 1 business day (0-24 hours) cancellation notice – full fee applies
  • 1-2 business days (24-48 hours) cancellation notice – 50% of full fee applies
  • 2+ business days (48+ hours) cancellation notice – no fee


Please note that any fees displayed are subject to change.
Medicare or Private Health Insurance rebates do not apply to cancellation and non-attendance fees.
If you have a Third Party provider, your cancellation or  non-attendance fee may not be covered by their funding, therefore, you will be required to pay the full fee out of pocket.  
If you need to cancel your appointment, please:
Call us - Launceston: 03 6724 3063 Hobart: 03 6244 3033
Respond 'cancel' to the SMS reminder
Email us - admin@thebubblelaunceston.com.au or admin@thebubblehobart.com.au
Use our contact us page. Emails and contact us page submissions are monitored on a regular basis by reception staff.

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We acknowledge the Traditional Owners and Custodians of the lands on which we live and work. We pay our respects to Indigenous Elders past, present and emerging. Sovereignty has never been ceded. It always was and always will be Aboriginal land.
We are committed to providing an inclusive and safe environment for all people, regardless of race, religion, language, background, age, ability, gender identity or sexual orientation. Everyone deserves respect and the opportunity for a healthy life.