Other Communications Consent Form

It is always preferred that your initial consultation and follow up appointments are face to face however we are aware that this is not always viable. Therefore, other communications will need be used in the form of;
Meeting Method
We may also use other communication methods when liaising with yourself, other health professionals or agencies regarding your medical care and treatment in the form of;
Communication Method
  • Email
  • Electronic prescriptions sent by SMS or email to yourself or your pharmacy

Please let us know if you would like a copy of our communication to GP's/Specialists to be sent to My health record.

Whist we have security measures in place, it is at this time we wish to advise that the communication methods used at CQ Mind Matters (as listed above) are not encrypted and can be intercepted by third parties or transmitted to unintended parties.

Should you have any concerns/queries we ask that you speak to one of our friendly staff members.

Please print and sign your name below and in doing so you are acknowledging you have read and understood other communication methods used by CQ Mind Matters and that you are consenting for their use in your assessment and treatment by our clinicians.

DD slash MM slash YYYY
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