I understand the above child's images and reports are stored electronically and authorise these records to be distributed to any practitioner involved in their future care. Where possible any records or correspondence sent to practitioners involved in their care will be sent via secure encryption via Medical Objects.
I understand and consent to the above named child's information being sent via other means including email and fax to practitioners and other 3rd parties involved in their care or related purposes. For example scripts to a pharmacy, imaging request, transport request or interpreter request as required.
I also understand it may be necessary to have drops placed in my child's eye(s) during their appointment. I am aware their vision will be blurry for a time afterwards. I understand the drops are required to carry out a thorough examination of their eye(s).
I hereby consent to having drops placed in my child's eye(s) during their appointments at the clinic.
By signing this document, you are giving permission for our office to communicate with you via post, email and SMS messaging services.