This Practice will collect information about you and your health under the guidelines of the National Privacy Principles 2001. Your attendance, together with your signature on this form will be taken as consent for the collection of this information. It will be used in the course of managing your healthcare and will include referral to additional specialists and allied health carers. Any unauthorised access will not be allowed without your permission. At times it will be necessary to collect health information from family members. Should you have any concerns, questions or complaints about any issue relating to privacy of your personal information, please contact Dr Savvoulidis to discuss the matter.
Dr Savvoulidis is a preferred provider with all major health benefit providers except NIB and Mildura Health Fund. If you are with either of these health insurers, you will be charged an increased co-payment should you require surgery.
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Please note that this practice does not bulk bill. All payments for your consultation are to be made in full on the day of your visit. EFTPOS facilities are available. If you are to be booked for surgery you will be charged a Co-payment which is an extra cost. This is not Medicare rebateable and is not covered by your Private Hospital Insurance.
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62 Kensington Road, Rose Park, SA
1st Floor, 28 College Street, Port Adelaide
Phone: (08) 8331 9177Fax: (08) 8331 0355Email: email@example.com
Monday to Friday, 9:00am – 5:00pm