Privacy collection notice
Blacktown Physioclinic collects the information on this form to contact the patient and arrange care. Information is handled under the Australian Privacy Principles and the Health Records and Information Privacy Act (NSW), and is only accessible to authorised staff. You can request access or correction by emailing admin@blacktownphysioclinic.com.au.
The referral record is stored in Australia. A copy of the referral details is also emailed to the clinic's own address so staff can act on it quickly; email providers may process or store that message outside Australia.