Terms &

Consent to Healthcare Services

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By submitting this form, I consent to receive healthcare services from Calen Health, including:

• In-person consultations at Calen Health clinics;
• Telehealth consultations, including video, telephone, or digital health communication;
• Assessment, diagnosis, treatment planning, clinical reviews, prescriptions, referrals, and follow-up communication as clinically appropriate.

I understand that telehealth may not be the same as a face-to-face consultation and limitations may include visual, diagnostic or physical assessment capacity.

I acknowledge that I may decline telehealth at any time and request an in-person consultation (except where public health or service limitations apply).

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Consent for Collection, Use & Disclosure of Personal and Health Information

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• I understand that Calen Health collects personal and health information to provide safe, appropriate, and lawful healthcare services.Calen Health’s Privacy Policy, aligned with the Australian Privacy Principles, explains how my information is collected, used, stored, shared, and secured. By completing this form, I confirm I have read, understood, and agree to the Privacy Policy, available upon request or on the Calen Health website.I consent to the use and disclosure of my information for:
  • direct healthcare provision, coordination, referrals, or shared care arrangements;
  • billing, Medicare or private health insurance claims;
  • mandatory reporting requirements;
  • appointment reminders, recalls, and results follow-up;
  • quality improvement and patient safety activities (with identifying information removed wherever possible).
  I understand I may withdraw consent for certain non-essential uses by contacting Calen Health in writing.

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Digital Health Systems, Telehealth Platforms & Third-Party Software

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I acknowledge that Calen Health uses Best Practice, Automed, telehealth platforms, and secure messaging systems to store and transmit clinical data.Where my information is processed or housed within these systems:Calen Health assesses system providers for privacy compliance but cannot control external vendor infrastructure.

• I understand that Calen Health defers data security liability to these providers when breaches are caused by faults or vulnerabilities within their systems;
• These providers maintain their own privacy and cybersecurity frameworks and accept responsibility consistent with their policies.

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Contact, Communication & Electronic Correspondence

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I consent to being contacted by:

• SMS, email, or telephone for appointments, recalls, results and health reminders;
• Telehealth links and digital forms.

I understand electronic communication carries inherent risks and Calen Health will take reasonable steps to protect confidentiality.

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Fees, Payments & Medicare

I acknowledge and agree that:

• Medicare, private health insurance and other rebate eligibility varies over time and may depend on patient-specific factors including, but not limited to, item number type, recent usage, care plans, referral status, clinical requirements, and regulatory changes.
• Calen Health will use reasonable endeavours to inform patients of likely Medicare or insurer eligibility prior to a consultation; however eligibility may only become clear during or after the consultation, once clinical needs, symptoms, or assessment requirements have been properly established.
• It is the patient’s responsibility to review, confirm and research their own Medicare or insurer eligibility, and Calen Health cannot guarantee Medicare, private health or other insurance rebates before, during, or after a consultation.
• Calen Health services are privately billed and will incur an out-of-pocket expense which may not covered by Medicare or insurance;
• Payments are due at the time of service;
• Calen Health may securely store billing information to process payments, Medicare claims, and repeat billing with patient consent

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Withdrawal of Consent

I may withdraw consent to treatment or to the handling of my personal information for non-statutory purposes by notifying Calen Health in writing.
Withdrawal does not apply to:

• legal reporting obligations,
• medicolegal documentation,
• records that form part of my permanent healthcare file.

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Telehealth Risks & Responsibilities

I understand that:

• telehealth relies on internet and telecommunications stability;
• I am responsible for ensuring I am in a private and safe environment during the consultation;
• Calen Health will not be responsible for confidentiality breaches occurring because of my environment or device security.

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Accuracy of Information Provided

I confirm that the personal and medical information I provide is true and complete to the best of my knowledge. I agree to update Calen Health of any changes relevant to my care.

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Duty of Care and Patient Conduct

Calen Health staff will provide care in line with professional and ethical standards.I agree to communicate respectfully and follow reasonable clinical advice or be informed of risks when declining it.

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Agreement

By signing or submitting this form electronically:

I consent to receive telehealth and in-person healthcare from Calen Health.

I understand and accept the terms outlined above and acknowledge the risks and benefits of telehealth.

I confirm I have read and agree to the Calen Health Privacy Policy.

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