I give my consent to Dr Jason McDarra, his agents and advisors, to access medical information that may be pertinent to my care, from medical practioners and other bodies I have consulted. I authorise the release of all such information (including sensitive information) to Dr McDarra, his agents and advisors. This is in line with the National Privacy Act updated 1st November 2010.
CONSENT TO RELEASE MEDICAL INFORMATION
DEPARTMENT OF VETERAN AFFAIRS
Next of Kin
Please specify if you would like a General Practitioner other than your referring doctor to receive correspondence from your appointment today.