Privacy Consent Form

Privacy Consent Form

This document (Consent Form) sets out how the recipient of the Services (Participant or you) consents to CareH Pty Ltd ACN 669 072 646 (CareH, us, we or our) collecting, using and disclosing the Participants personal and sensitive information and understand and agree to the risks associated with the Services we provide.
When we refer to Services, we mean any services we provide to the Participant under an agreed services agreement (Services). Services includes all activities and services ancillary to or associated with the named Service, whether provided by us or not.
For more information about how we collect, use and disclose your personal and sensitive information, you can read our privacy policy here: [Insert]

1. COLLECTION OF INFORMATION
(a) In order to provide the Participant with the Services, we need to collect the Participant’s personal and sensitive information as set out in our privacy policy. By signing below, the Participant consents to the collection, use and disclosure of their personal and sensitive information in accordance with our privacy policy. This includes health information, medical history (including medical documents) and any support requirements under an Aged Care Plan (if applicable) or Participant’s NDIS plan (if applicable).
(b) This information may be shared with health practitioners, emergency services and other third party providers (as is relevant) that we may refer the Participant to, and other third parties we work with (including those located internationally) to provide the Participant with the Services.

2. DISCLOSURE OF PERSONAL INFORMATION
(c) By signing the Consent Form, the Participant consent to the disclosure of your personal information as set out in our privacy policy.
(b) This information may be disclosed to third parties that we work with to provide our services to the Participant, and to entities that we are legally required to disclose information to.

3. DISCLOSURE OF YOUR SENSITIVE INFORMATION
(e) By signing the Consent Form, the Participant consent to the disclosure of your sensitive information as set out in our privacy policy.
(f) This information may be disclosed to our authorised digital verification service providers, and to entities that we are legally required to disclose information to.
(g) We may disclose your personal information, including health information, without your consent in the event of an emergency. This disclosure will be strictly for the purpose of providing you with emergency assistance, ensuring your safety, and facilitating any necessary medical or emergency interventions. We are committed to safeguarding your privacy and will only share your information with emergency responders, healthcare professionals, and relevant authorities as required to address the emergency situation.

4. COMMUNICATIONS
(h) In order to provide the Participant with our Services, we may need to communicate with the Participant via SMS and/or email to collect personal or sensitive information, or to otherwise provide the Participant with updates or information.
(i) By signing below and by providing CareH your telephone number or email address, the Participant consent to receiving and providing communications relating to our Services via SMS and/or email.

5. MARKETING, EDUCATION AND TRAINING
(j) By signing this Consent Form, the Participant consent to the collection, use and disclosure of your personal and sensitive information (including to overseas third parties) for the purposes of direct and indirect marketing.
(k) By signing this Consent Form, the Participant consents to the collection, use and disclosure of their personal and sensitive information for the purposes of education and training.
(l) This includes CareH using such personal and sensitive information for internal staff education and training, and disclosing this information to third parties for their own education and training purposes.

6. SEVERANCE
(m) The Participant and its Representative agree that should any part of this waiver be found by a court of law to be against public policy, in violation of any state statute or case precedence, or otherwise unenforceable, then only that wording is removed, and the remainder of this waiver will remain in full force.

7. AUTHORITY TO CONSENT
(n) By signing this Consent Form, you represent and warrant that you have the full authority to provide each of the consents in this document because you are the Participant of the Services or an authorised Representative of the Participant of the Services.
(o) In this document, “Representative” means:

(i) a parent or legal guardian of a patient (if that patient is under 18 years of age); or
(ii) a NDIS nominee, support coordinator, plan manager or representative of the Participant.