Request for access to documents under the Freedom of Information Act 1982
APPLI
CANT’S DETAILS
Surname _________________________________________________________________
Given Names _________________________________________________________________
Company/Representative _________________________________________________________________
(if applicable)
Posta
l Address _________________________________________________________________
Email Address _________________________________________________________________
Contact Phone Number(s) _________________________________________________________________
What is your preferred method of
Email Post
recei
ving correspondence from us?
REPRESENTATIVE’S DETAILS (If you are lodging a Freedom of Information (FOI) request on behalf of another person)
Surname
_________________________________________________________________
Given Names _________________________________________________________________
Company/Representative _________________________________________________________________
(if applicable)
Posta
l Address _________________________________________________________________
Email Address _________________________________________________________________
Contact Phone Number(s) _________________________________________________________________
ACCESS TO AGED CARE APPROVED PROVIDER CARE RECORDS
The most direct way to seek access to an approved provider’s records is to contact them directly. Providers have a
responsibility under the Aged Care Act 1997 and other laws to give people access to their own health records. In aged
care legislation, providing access to care records is a requirement of the Charter of Care Recipients Rights and
Responsibilities for both residential and home care.
If this is unsuccessful, you can raise a complaint with us and we can work with you and the provider to resolve the
issue.
If you are seeking care records of someone you do not legally represent be aware that there are restriction in the
Australian Privacy Principles and the Aged Care Act 1997 about disclosing this information to you.
You must have consent from the person receiving care or their legal representative authorising you to access their care
records.
AUTHORITY TO ACCESS PERSONAL INFORMATION, INCLUDING CARE RECORDS
I am authorised to access the records because:
I am the person receiving care
I am authorised to act on behalf of the person receiving care (please attach evidence e.g. power of attorney /
executor of estate /
court order)
CONSULTATION WITH OTHER PEOPLE
If the documents identified include information about other people or organisations (including aged care service
providers) we may need to ask them if they agree to the potential release of documents under FOI.
Where consultation with another person or organisation is necessary:
Do you agree to us telling the other person or organisation your name and that you made the FOI request?
Yes
No
DOCUMENTS REQUESTED
Please clearly describe the documents you want access to.
LODGING AN FOI REQUEST
Lodge your FOI request by:
Email:
Post:
FOI@agedcarequality.gov.au
Freedom of Information Team
Aged Care Quality and Safety Commission
GPO Box 9819
CANBERRA ACT 2601
Disclaimer: Under the Aged Care Quality and Safety Act 2018, the Aged Care Quality and Safety Commission can use any
information it receives to help perform its regulatory functions. The Aged Care Quality and Safety Commission has procedures
in place to ensure that personal information is protected against misuse and is not unlawfully disclosed.
GPO Box 9819, CANBERRA ACT 2601
Telephone: 1800 951 822 ABN: 80 246 994 451
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