PRIVACY POLICY
Privacy & Health Records Governance Policy
Version 3.2 (April 2026)
Owner: Emma Newton, Director
Review Frequency: Annually or sooner when improvement identfied
1. Purpose and Scope
This policy outlines how Autonomic Health Pty Ltd collects, uses, stores, protects, shares and retains personal and health information in accordance with:
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Privacy Act 1988 (Cth)
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Australian Privacy Principles (APPs)
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Relevant State/Territory health records legislation
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My Health Record legislation (where applicable)
This policy applies to all personal information collected through:
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Clinical services (telehealth)
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Website and digital platforms
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Social media interactions
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Administrative and direct communications
This policy supports both internal governance and transparent communication with patients regarding their privacy rights.
2. Healthcare Record System
Autonomic Health uses a secure electronic health record (EHR) system (Halaxy) that:
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Is ISO 27001:2022 compliant and PCI DSS aligned
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Is cloud-based, encrypted, and securely backed up
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Supports accurate clinical documentation and audit trails
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Enables secure communication and patient access
3. Types of Information Collected
The service collects personal and sensitive information including:
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Identifying information (name, date of birth, address, contact details)
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Emergency contact / next of kin details
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Clinical history, assessment findings and care plans
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Medication and treatment history
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Outcome measures
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Correspondence with other providers
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Payment and billing information
Only information reasonably necessary for care delivery and service operations is collected.
4. Collection of Information
Information is collected:
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Directly from patients via intake forms, telehealth consultations and the secure patient portal (multi-factor authentication)
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From other healthcare providers with patient consent via secure messaging (HealthLink, ReferralNet) or eFax
Collection is undertaken by lawful and fair means.
5. Patient Identification
At each consultation, three identifiers are confirmed:
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Full name
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Date of birth
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Residential address
This supports safe, accurate identification and documentation.
6. Consent
Autonomic Health recognises that valid consent is central to ethical and lawful handling of personal information.
6.1 When Consent is Required
Consent is obtained when:
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Collecting sensitive health information
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Sharing information with other providers (unless authorised by law)
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Uploading to My Health Record
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Recording consultations (if applicable)
6.2 Elements of Valid Consent
Consent is valid only where it is:
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Informed – the individual understands what is collected, why, and how it will be used
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Voluntary – given freely without coercion
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Current and specific – applies to a defined purpose
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Given with capacity – the individual can understand and communicate their decision
6.3 Documentation of Consent
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Consent is documented in the clinical record
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Intake forms include privacy and consent acknowledgement
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Verbal consent is recorded where appropriate
7. Purpose of Use
Personal information is collected and used to:
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Provide safe and effective healthcare services
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Communicate with patients regarding their care
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Coordinate care with other providers
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Process billing, payments and third-party claims
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Respond to enquiries, feedback or complaints
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Support administration and service delivery
8. Use and Disclosure
Information is used and disclosed only:
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For the primary purpose of care delivery
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For directly related secondary purposes reasonably expected by the patient
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With patient consent
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Where required or authorised by law
This may include:
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Referrals and clinical handover
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Mandatory reporting (e.g. child safety, risk of harm)
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Legal or regulatory obligations
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Business transfer (where applicable and lawful)
All disclosures are documented and conducted via secure systems.
9. Communication and Sharing
Health information is shared via secure channels including:
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Secure messaging systems (HealthLink, ReferralNet)
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eFax via the EHR
Structured templates are used for GP letters, referrals and clinical summaries.
10. Anonymity and Pseudonymity
Due to the nature of healthcare, it is generally not practicable to provide services anonymously or under a pseudonym, as identification is required for safe and continuous care.
11. Direct Marketing
Autonomic Health does not use personal or health information for direct marketing. Patients may opt out of any non-clinical communications.
12. Overseas Disclosure
None.
13. Data Quality and De-identified Data
Reasonable steps are taken to ensure information is accurate, up to date, complete and relevant through:
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Clinical documentation standards
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Routine verification of patient details
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Annual audits
De-identified data may be used for:
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Quality improvement
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Service evaluation
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Business operations
14. Security of Information
Security measures include:
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Multi-factor authentication
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Encryption
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Password-protected systems
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Automatic device locking
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Restricted access (Director only)
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Secure messaging systems
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Audit trails
Information is protected from misuse, loss, unauthorised access, modification or disclosure.
15. Storage and Retention
Records are:
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Stored securely in encrypted cloud systems
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Retained in accordance with legislative requirements
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Destroyed or de-identified when no longer required, where lawful
16. Access to Information
Patients may request access to their personal information:
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Requests are responded to within a reasonable timeframe
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Access is provided in a suitable format where practicable
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Identity verification may be required
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A reasonable fee may apply
Access may be refused where permitted by law, with written reasons provided.
17. Correction of Information
Patients may request correction of inaccurate or incomplete information:
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Corrections are made where appropriate
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If correction is refused, a statement may be attached to the record
18. Unsolicited Information
If unsolicited personal information is received:
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It is assessed for relevance
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If not required, it is securely destroyed or de-identified where lawful
19. Notification of Collection
Patients are informed at or before collection of:
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Identity and contact details of the service
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Purpose of collection
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Use and disclosure practices
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Consequences of not providing information
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Access and correction rights
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Complaint mechanisms
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Overseas disclosure
20. Management of Patient Reports
The service:
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Receives and reviews external reports
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Acts on clinically relevant findings
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Communicates with patients
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Documents actions taken
Urgent reports are prioritised.
21. My Health Record
The service:
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Uses national healthcare identifiers
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Read-only access via National Provider Portal
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Complies with legislative requirements
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Maintains annual staff training
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Transition to compliant software to enable uploads is being considered under the Quality Improvement Plan
22. Data Breach Response
In the event of a data breach:
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Contain the breach
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Assess risk
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Notify affected individuals (if required)
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Notify the OAIC (if eligible breach)
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Document the incident
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Review and improve systems
23. Telehealth Privacy
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Consultations are conducted in private environments
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Secure platforms are used
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Patients are encouraged to attend from private locations
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Recording only occurs with consent
24. Audit and Quality Improvement
Annual documentation audit includes:
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Use of identifiers
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Documentation completeness
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Consent documentation
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Care planning and escalation
Findings inform the Quality Improvement Plan.
25. Complaints
Privacy complaints may be made via:
Email: info@autonomichealth.com.au
Complaints are:
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Acknowledged promptly
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Investigated
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Responded to within a reasonable timeframe
If unresolved, complaints may be made to the Office of the Australian Information Commissioner (OAIC).
26. External Links
Autonomic Health is not responsible for the privacy practices of external websites or services linked through our platforms.