Consent Form

Two images; 1 image of close up of woman using laptop. Second image of disabled women in wheelchair sitting at desk using laptop, turning to smile at camera
AUTHORITY TO COLLECT, HOLD, USE AND DISCLOSE CLIENT INFORMATION
Personal information collection, holding, use and disclosure of personal information by Permalink Support Services is protected by the Privacy Amendment (Enhancing Privacy Protection) Act 2012 (Cth) (Privacy Act).
Personal information is any information or an opinion that identifies you or could identify you and includes information about your health.
The purpose for collecting personal information from you is to:
● provide services, including planning, coordinating, funding, implementing,
● monitoring and reviewing our services
● report to NDIS, government or other funding bodies of how funding is serviced by us
● take photographs and videos for therapeutic and marketing purposes
● responding to your feedbacks, and
● responding to your queries.

Permalink Support Services will not disclose/use information about you for any secondary purpose unless:
● You have consented to the use or disclosure
● You would reasonably expect Permalink Support Services to use or disclose the information for the secondary purpose as it is directly related to the primary purpose
● The use or disclosure of the information is required or authorised by or under an Australian law or a court/tribunal order
● Permalink Support Services reasonably believes the use or disclosure is necessary to lessen or prevent a serious threat to life, health or safety of an individual or to public health and safety
● Permalink Support Services has reason to suspect an individual may have done something unlawful or engaged in serious misconduct that relates to Permalink Support Services functions or activities
● Permalink Support Services reasonably believes that the use or disclosure is reasonably necessary to assist another person to locate a person reported as missing.
AUTHORITY TO COLLECT, HOLD, USE AND DISCLOSE CLIENT INFORMATION
Pursuant to The Privacy Amendment (Enhancing Privacy Protection) Act 2012 (Cth) and The Health Information Protection Act

The purpose of this form is to provide consent to the release of personal information to third parties as requested by the Client which is protected and governed by the privacy provisions of The Privacy Amendment (Enhancing Privacy Protection) Act 2012 (Cth) and The Health Information Protection Act.
I understand this may include personal information within the meaning of The Freedom of Information and Protection of Privacy Act, and personal health information within the meaning of The Health Information Protection Act. I further understand that Permalink Support Services will only release as much information as is needed to respond to my concern and subject to the restrictions and provisions of The Freedom of Information and Protection of Privacy Act 2012 (Cth) and The Health Information Protection Act.
Consenting to the Release of Personal Information