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Personal information, including sensitive information, collected by Queensland Health is handled in accordance with the Information Privacy Act 2009. The purpose of this form is so that patients may be referred to The COACH program for care and treatment. All personal information will be securely stored and only accessible by authorised officers of the department. Personal information will not be disclosed to third parties without consent, unless required or authorised by law.
For information about the right to access personal information visit 'Health records and personal information' on the Queensland Health website.