Electronic Communication Consent

We have recently upgraded our computer software and as a result our SMS systems require your consent to be updated.

The purpose of this form is to seek your consent to the use and disclosure of your personal information (including health information) in regards to our reminders and notifications systems within our practice.

Prior to consenting we ask that you read the following document regarding electronic communication at Pivotal Health.

Pivotal Health Practice Communications with Patients

Pivotal Health Electronic Communication Consent

  • Please answer the following questions in regards to what health information you would like to receive electronically from Pivotal Health.
  • Acknowledgement and Consent

  • Thank you

    Thank you for completing this consent. We will update your records. Should you have any queries or concerns, please do not hesitate in contacting us on 07 3286 1122.