Privacy Consent Form

Introduction

We are Tinnitus Relief Australia Pty Ltd ACN 673 153 921 (TRA).

To deliver the best services in support of your health and wellbeing, we require to work collaboratively with your carers, medical, allied health team, legal advisors and any relevant government departments.

We require your consent so that we can:

• collect your personal information from these persons/organisations;
• use and store the information we collected to deliver our services to you;
• make suggestions to you about our other services that may benefit or enhance your health and wellbeing through our regular newsletters, emails, SMS, or social media platforms;
• disclose your personal information to these persons/organisations so that they can provide recommendations how we can improve or maintain our high-quality services for you.

If you do not provide your consent to us, we may not be able to provide your required services or to the high standard as we provide to other clients. If you have a particular concern with respect to consenting to the exchange of personal information, we encourage you to speak to Privacy Officer.

Consent

This consent you give to Tinnitus Relief Australia will be valid for 12 months unless:

• you have decided to withdrawal or change this consent;
• there is a significant change in your health, and it is in your substitute decision maker or Tinnitus Relief Australia opinion that a new consent is required.

By signing this form, I (______________________) of (______________________) give my consent to Tinnitus Relief Australia to collect, use and exchange my personal information for the following purposes:

• conducting the necessary examination and preparing the resulting report or documentation required by relevant third parties including but not limited to the Department of Veteran Affairs, the Commonwealth Super Corporation, Medicare, insurance providers, or other agencies involved in healthcare or billing services;
• supporting any proceedings I may have with against any relevant government department;
• support my chosen quality of life;
• providing care and support to improve and maintain my health and wellbeing;
• address or response to my requests;
• make suggestions and recommendations to me about Tinnitus Relief Australia ’s other services;
• develop and improve the quality and scope of the services Tinnitus Relief Australia provide, and seek my feedback;
• to assist in investigating my complaints, feedback and inquiries;
• for other purposes which are reasonably necessary in connection with Tinnitus Relief Australia normal functions and activities, for example, seeking legal/accounting advice, managing business activities.
• to disclose my personal information with third parties who are involved in my care including to any associated entities to TRA; and
• for my information to be collected and used for providing suggestions and recommendations on other services to improve my health or wellbeing.

If you’d like to opt-out of one these consents, please contact our privacy officer.

Privacy Officer:

Phone: 1300 148 657

Email: admin@tinnitusrelief.com.au