Patient Registration

• You accept that Auckland Eye may access your external health records (e.g. from public hospital and GP) to provide appropriate care for you.

• You confirm that the above details are correct and accept that Auckland Eye will provide a copy of your clinical results and details of your consultation(s) to your General Practitioner / Optometrist / Specialist and / or other referrer. Auckland Eye may use the above details including email to advise of appointments, send correspondence and patient satisfaction surveys.

• You consent to us using your personal information to confirm your identity, appointment and verifying information is correct, both directly and indirectly at peripheral locations.

• From time to time, we work with other trusted affiliate healthcare practices and share patient diagnostic testing equipment when providing patient care. They may access your patient information through this equipment when providing this care. We have strict polices and non-disclosure agreements to prevent unauthorised access to and misuse of patient information.

• You accept that you are responsible for payment of all services received at Auckland Eye and payment is required on the day. Please note we do not guarantee that your insurer or ACC will fund your consultation fees, tests or procedures including non affiliated Southern Cross services . You will therefore be responsible for any costs or co-payments related to these. Please note that fees are subject to change without notification. Failure to attend the appointment or cancel within 24 hours of the appointment may incur a fee.

• Southern Cross Insurance (SX) Members: By signing this form, you authorise Auckland Eye to obtain prior approval, share information with SX and process your claim as an affiliated provider.

Please Note:Some of our doctors utilise a note taking tool called Heidi to capture the details of your consultation accurately and efficiently. Conversations are transcribed while they happen, meaning no recording is ever stored. Heidi is compliant with the Privacy Act 2020 and New Zealand Information Privacy Principles.