Mayfield Aged Care Logo Mayfield Aged Care Logo
  • Home
  • Residential Care
    • Facilities and Services
    • East Wing
    • West Wing
  • Palliative Care
  • Respite Care
  • About
    • Fees and Charges
    • Meet The Team
    • Steps to Admission
    • About Us
    • Testimonials
  • News
  • Contact

Resident Privacy & Consent Form

  • Your files and other information are securely stored
  • We only collect information about you that is relevant to the provision of care, and we explain to you why we collect the information and what we use it for
  • We seek consent from you to, for your health & safety or in an emergency, disclose personal information to other health service providers to provide emergency care or services
  • We seek consent from you to provide access to your records to government officials (or their delegates) for quality reviews or the investigation of complaints. We advise you that these individuals are required to keep all information accessed through this process confidential
  • Information provided to government bodies regarding service provision does not identify you. If any information is provided to outside government agencies for data purposes, we ensure that the information is de-identified, and we make a note in your record of what information was shared and to whom
  • You can withdraw consent to share personal information at any time
  • You can ask to see the information that we keep about you, or you can request to amend the information, and are supported to access this information if requested, within 30 days of the request. Information is provided in a format accessible by you. You can nominate a representative to access your records held by Mayfield Aged Care
  • All information relating to you is confidential and is not disclosed to any other person or organisation without your permission
  • We only share information when it is necessary to ensure appropriate support is delivered and only with your permission/consent beforehand
  • The provision of information to people outside the service is authorised by the CCM
  • We do not discuss you or your support with people not directly involved in supporting you
  • We take steps to correct information where appropriate and regularly review your information to ensure it is accurate and up to date
  • Reviews are always conducted in private with you and our staff member unless you consent to your carer, advocate or other person being present
  • During your reviews our staff member asks you about any particular privacy requirements you have such as a preference for a male or female support worker. These are noted on your assessment form and support plan
  • Any discussions between staff about you are held in a closed office
  • You are supported by us should you have a complaint or dispute regarding our privacy policy or the management of your personal information
  • Any references to you in meeting minutes refer to you by initials only or another unique identifier, such as your resident number
  • We confidentially destroy any personal information held about you when it is no longer necessary to provide support

Resident Privacy & Consent Form

Fill out the form below to Consent to information relevant to the care you receive being made available as follows
 Family Members / Others (specify):







My Aged Care / RAS / ACAT:


Emergency Responders / Hospitals:


Other Health Services (specify):





Please answer the following questions







 Resident/Representatives Signature:


Reset Signature
Mayfield Aged Care

Where to Next...

  • Home
  • Residential Care
    - Facilities and Services
    - East Wing
    - West Wing
  • Palliative Care
  • Respite Care
  • About
    - Fees and Charges
    - Meet The Team
    - Steps to Admission
    - About Us
    - Testimonials
  • News
  • Contact

Contact Us

  • 115 Crebert St, Mayfield NSW 2304
  • 02 4967 1060
  • info@mnh.com.au
Admission Form

2026 © All Rights Reserved. Website by Cloud Concepts

Login