Get Au I-med Radiology Network Privacy Complaint Form

This guide will assist you in completing the AU I-MED Radiology Network Privacy Complaint Form online. By following these clear instructions, you will be able to submit your privacy complaint efficiently and effectively.

Follow the steps to complete the online form successfully.

1. Click the 'Get Form' button to acquire the Privacy Complaint Form and open it in your preferred editor.
2. Fill in your personal details in the 'About You' section. This includes your name, address, telephone number, mobile number, and email address. If you are filing the complaint on behalf of someone else, include their name and your relationship to that person. Don't forget to provide proof of your authority to act on their behalf.
3. In the 'What/Who is Your Complaint About?' section, enter the name of the I-MED clinic or office related to your complaint. Describe the nature of your involvement with I-MED at that time.
4. Proceed to the 'Your Complaint' section. This is your opportunity to explain how you believe your privacy has been breached. Include details about what occurred, where it took place, when it happened, who was involved, and what personal information was affected.
5. Discuss the impact that this breach had on you, and clearly express the outcome you desire from this complaint.
6. If you have any supporting documents, such as correspondence or records of conversations with the I-MED department, make sure to include copies (not originals) with this form.
7. Lastly, sign and date the form to confirm the information provided is accurate. Ensure that the date is properly formatted.
8. Return the completed form by post or email. For postal submissions, use the address provided and clearly mark it 'Private and Confidential.' For email, scan the form and any attachments and send it to privacy@i-med.com.au.

Complete your privacy complaint form online today to ensure your voice is heard.