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Advanced Medical Directive Instruction to Local DHB

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Posted 10 April 2012 - 10:00 AM

Full Legal Name the You are Known By...

address
suburb
city
zip code



Re: Hospital Number ***
Dob ***
Former married name: *** (or any other name you may be known by)



Dear Hospital Staff



ADVANCED DIRECTIVE…



The only health professionals that can have legal access to my Personal Health Information are

My General Practitioner: Dr ***

My Neurosurgeons: A: Mr *****, -and which city he is based

B: Mr ***** - and which city he is based

My pain Specialist Dr ***** – and which city he is based
and whatever other doctors you are under who treat you



Under no circumstances can ACC or any ACC representative have access to my Medical Records.


Under no circumstances can Dr *** (of the local ACC branch) have access to my Medical records.


This directive has been driven by continued Privacy Breaches within my ACC Claim File, which is under Investigation by the Privacy Commissioner.


I do not given permission for any “3rd party Doctor”, definition as defined by the Medical Council of New Zealand, access to my health information.

Any “Treating Physician,” as defined by the Medical Council of New Zealand, who is in the process of attending to my needs In an Emergency situation, can have access to my personal health information.


The legal reported diagnosis of my *** whatever your injury is:

write the date of your full diagnosis here

write you legal diagnosis here
copy the exact words from your speciialist
copy the exact wording from your scan/ mRI/Ultrasound

Diagnosed by Drs ** & ** & **
whichever doctors have written your legal, full reports


I thank you for your cooperation in protecting my health information under the:
Health and Disability Consumer Code of Rights.

Yours sincerely,


NTV
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#2 User is offline   not their victim 

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Posted 10 April 2012 - 10:15 AM

Please think very carefully about using this template

I have not written this flippantly or vexatiously

I have written this, because of continued systemic fraud within my acc file, that acc are still denying, after having provided me with all the evidence

acc continue to block and deny my rights

I will no longer have my health information misused by an insurance company who cannot uphold the Laws of natural Justice.

The Privacy (Information Sharing) Bill

By Nicholai Anderson, senior associate, Chen Palmer New Zealand Public and Employment Law Specialists

As stated by the Privacy Commissioner in her submission to the Justice and Electoral Committee on the Customs and Excise (Joint Border Management Information Sharing and Other Matters) Amendment Bill (8 October 2010, at [3.2]):

“[I]f information is inaccurate, then the error is spread across multiple databases. It is then more difficult and resource-intensive to correct the information, as the correction must be made not only to the data held by many agencies, but also to the profiles and assumptions built upon this information. It is also difficult for the individual concerned to correct the information and to know where it is held.”


therefore, if you do CHOOSE to use this, please be advised, it may affect entitlement, and keeping your income is most important
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