Privacy Policy

Your Privacy

South Island Allergy Service operates from the Riccarton Clinic and shares all systems and, therefore, patient data with Riccarton Clinic. 

The full Riccarton Clinic Health Information Privacy Statement can be found here.

We use JotForm to collect information from you. The JotForm Privacy Policy can be found here.

Information supplied in the forms is kept only on the JotForm server until it is actioned by our team and is then automatically deleted after 30 days. This is held privately and is not shared outside of the Health Information Privacy Statement below. 


Health Information Privacy Statement

I understand the following:

Access to my health information

I have the right to access (and have corrected) my health information under Rules 6 and 7 of the Health Information Privacy Code 2020.

Patient Information

The information I have provided on Allergy Service Forms may be used as follows:

· Held by the practice.

· Used by the Ministry of Health to give me a National Health Index (NHI) number or update any changes.

· Sent to the PHO and Ministry of Health to obtain subsidised funding on my behalf,

· Used to determine eligibility to receive publicly funded services. Information may be compared with other government agencies but only when permitted under the Privacy Act.

Health Information

Members of my health team may:

· Add to my health record during any services provided to me and use that information to provide appropriate care.

· Share relevant health information with other health professionals directly involved in my care.


In the case of financial audits, my health information may be reviewed by an auditor for checking a financial claim made by the practice, but only according to the terms and conditions of section 22G of the Health Act (or any subsequent applicable Act). I may be contacted by the auditor to check that services have been received. If the audit involves checking on health matters, an appropriately qualified healthcare practitioner will view the health records.

Health Programmes

Health data relevant to a programme in which I am enrolled (e.g., Breast Screening, Immunisation, Diabetes) may be sent to the PHO or the external health agency managing this programme.

Other Uses of Health Information

Health information that will not include my name but may include my National Health Index Identifier (NHI) may be used by health agencies such as the Te Whatu Ora (Health New Zealand), Te Whatu Ora Waitaha, or PHO for the following purposes: as long as it is not used or published in a way that can identify me:

· Health service planning and reporting

· Monitoring service quality

· Payment


My health information may be used for health research, but only if approved by an Ethics Committee and will not be used or published in a way that can identify me.

Except as listed above, I understand that details about my health status or the services I have received will remain confidential within the medical practice unless I give specific consent for this information to be communicated.