At Sleep WA we are committed to providing excellent health care for sleep related disorders. For this reason we believe it is essential to continually assess the effectiveness of our various therapies and aim to improve them where possible. This is achieved using research projects.
You are invited to give consent for your personal information to be collected for the purpose of clinical audit or research. This information may include clinical details taken from your medical records, sleep questionnaire or test results.
Your personal information will be stored on the Sleep WA database which is password protected and accessible only by Sleep WA employees. Any information taken from the clinical database and used for the purpose of research will have all identifying information removed. Your information will not be shared with any other parties. The information collected will be used only for research projects related to sleep disorders and their treatment. This research may be published in medical journals or presented at medical conferences. Any research projects will be presented to the Hollywood Private Hospital Research Ethics Committee for approval prior to publishing or presenting.
You may be asked to complete additional questionnaires regarding your therapy. Most of these will be given to you at scheduled appointments but we may occasionally send requests in the mail. You are not obliged to respond to these requests. These questionnaires will be added to your clinical records but any details used for research or clinical audit will have all identifying information removed.
Consent is completely voluntary and can be withdrawn at any time. Withdrawal of your consent will result in your information no longer being used for research. If you would like to discuss any of the above, please contact the Practice at email@example.com
Declaration of the participant
I have read and understand the above information. I have been given the opportunity to ask questions and I am satisfied with answers I have received. I freely agree to the retention of my personal information for the purpose of research and I am aware that I can withdraw this consent at any time.