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I hereby give consent for my
medical doctor, DR CND MCINTOSH to capture and store all personal information relating to
my health records and that of my medical aid dependants, including names, identity numbers, and
other personal information, along with details of our medical treatment, medications, medical
appointments, procedures and medical aid claims in his/her patient database and practice
management system. I confirm that I am authorised to give such consent on behalf of my medical
aid dependants. I understand that this personal information may be stored either on site at the
practice, or else off-site in a secure encrypted cloud environment managed by a third party.
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I understand that my/our doctor may need to share my/our special personal information with
healthcare service providers, for example medical aid schemes, healthcare facilities, insurers,
administrators, and
pharmacists, for the purpose of providing me/us with comprehensive, integrated health services
and for conducting
member checks. I understand that from time to time my medical doctor may allow a computer
specialist to access
his/her patient database which carries my/our personal information for the purpose of updating
or repairing the
database. I give permission for such temporary sharing, on the understanding that the practice
has signed data
processing agreements with such third parties.
I
understand that my/our special personal information will not be shared with any other third
party by my/our medical
doctor without my/our express, specific, prior permission.
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