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Your Community Health

  • (03) 8470 1111
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  • Our Services
    • COVID-19
      • General Practice Respiratory Clinics
    • Medical
      • Doctors – Bulk billing
      • Children’s Development and Behaviour Clinic
      • Healthy Liver clinic
      • Lymphoedema clinic
      • Mental Health
      • Needle and syringe program
      • Opioid substitution (Pharmacotherapy)
      • Pathology
      • Refugee Health Clinic
      • Steroid Education
      • Vitamin D Clinic
    • Dental
      • Low cost private dental
        • $149 new patient special offer
        • Check-ups and Cleaning
        • Dental Crowns
        • Tooth Removal
      • Children’s dental services
      • Oral Health Workshops
      • Dental products for sale
    • Health Services
      • Counselling
        • Reconnexion
      • Diabetes Education
      • Exercise Groups and Classes
      • Food, nutrition and dietetics
      • Health Independence Program
      • Occupational Therapy
      • Optometry
      • Physiotherapy
      • Podiatry
      • Speech Pathology
        • Speech Pathology for adults
        • Speech Pathology for children (0 to 6 years)
      • Stop smoking support
    • Social Support
      • Fresh Program
      • Keeping Connected
      • Men’s Shed
      • Social Groups
  • Service Access
    • Aboriginal and Torres Strait Islander Health
    • Children and families
    • NDIS
    • My Aged Care
    • Refugees and Asylum Seeker Services
    • Trans and Gender Diverse in Community Health Program
    • Reconciliation Action Plan
    • Rainbow Tick 
  • Get Involved
    • New Client Welcome Packs
      • Arabic Welcome Pack
      • Chinese Welcome Pack
      • English Welcome Pack
      • Farsi Welcome Pack
      • Greek Welcome Pack
      • Italian Welcome Pack
      • Vietnamese Welcome Pack
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      • Children 0-6 years: Referral Form
      • Counselling referral Form
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About Us » Privacy and confidentiality

Privacy and confidentiality

Your Community Health protects the privacy and confidentiality of all clients and complies with privacy legislation.

If you access services at Your Community Health we will collect some information about you so that we can care for you in the best possible way.

We usually collect the following kinds of information:

  • Name, address, telephone number, email address, date of birth, gender identity and preferred language
  • Health information, including information provided by a referring doctor
  • Information about care and treatment, both past and present
  • Next of kin or preferred contact person
  • Medicare number, Health Care Card number and pension number (if applicable)

Personal information may also be collected for responding to inquiries, requests for access to information and resolving complaints.

If there is information about you that you do not want collected or shared with other health care workers, please tell us. This may change the care options available to you, so we will work with you to decide how to give you appropriate care.

Our client information and privacy policy is available for your information.

 

How you can access your health information

For more information about privacy and how to access your information, you can ask your health care worker or contact the Manager, Quality Safety and Risk on (03) 8470 1111 or email [email protected].

You may also complete the form below. You can download and print a hard copy here or pick one up from one of our health centres.

Access to health records form

Your details

We collect your details so we can respond to your application. We will only use your details for this purpose. Where your full details are not provided, your application for access to documents may be affected.
Name(Required)
Address(Required)
Date of birth
Do you consent to Your Community Health disclosing your identity and knowledge of this application to other persons for any reasonable consultations necessary for processing your application?
For example, consultations may be with individuals who are listed in the health records you want to access.
Max. file size: 50 MB.
For example, Australian Drivers Licence, Australian Passport, or a certified copy of your Medicare Care Card, Health Care Card, Pension Card or Veteran Card.
Are you seeking access to documents about yourself or other people?(Required)

Client's details

We need to know whose health information you are seeking. We require proof that you have authority to access health information about another person.
Name
Address
Date of birth
Does the client know you are requesting access to their information?
Max. file size: 50 MB.
For example, a will, Power of Attorney.

Details of the request for access or transfer

You have the right to access your health record and request correction to information. The decision to grant access will be based on legislation and the health privacy principles. For more information, please see 'Keeping your information private' and the 'Client Information Privacy Policy' on our website.
How would you like to access the health record?
At which Your Community Health centre would you like to see the health record?
Do you require an interpreter?
Do you want access to all or part of the health record?
Do you want to transfer the health record to another organisation?
For example, a doctor, lawyer, insurance company.
Contact name
Address

Next steps

We will assess your request in accordance with the Health Records Act 2001, and will contact you within 45 days of receiving this form. Costs may be associated with your request in line with the Health Records Act 2001. When we contact you, we will let you know if there are any costs. If you have any further queries or require assistance completing this form, please contact the Health Information Officer on (03) 8470 1111 or [email protected] Information about our Privacy Policy can be found on our website: www.yourcommunityhealth.org.au
I declare that to the best of my knowledge, I have answered correctly and have consent to access these health records.
Ticking 'yes' is like giving a signature on a form.
This field is for validation purposes and should be left unchanged.

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    125 Blake Street
    East Reservoir
    VIC 3073
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Your Community Health acknowledges the Wurundjeri people of the Kulin Nation are the traditional custodians of the land.

Your Community Health is committed to providing an inclusive and accessible environment where people and communities of all identities and backgrounds (including but not limited to, ethnicity, faith, socio-economic circumstance, sexual orientation, gender identity, ability, bodies, migration status, age and Aboriginal and Torres Strait Islander descent) are accepted, safe and celebrated.

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