Keiwan Occupational Therapy uses Splose, a third-party practice management platform, to securely collect and manage online referrals. Information submitted through the referral form may include personal, contact, funding and health information about the participant.
This information is collected to review the referral, assess service suitability, contact the participant, authorised representative or referrer, arrange services and manage the referral. Please provide only information reasonably necessary for these purposes.
Information submitted through the form is handled in accordance with this privacy notice and the Splose Privacy Policy. You may contact Keiwan Occupational Therapy to request access to or correction of your information, obtain further privacy information, or raise a privacy concern. This website does not intentionally add third-party advertising pixels or marketing trackers.
Google Forms is used to receive general feedback, suggestions and complaints. Names and contact details are optional. Responses are used to review the matter, improve services and respond when contact details are provided. Information entered into the form may be processed by Google in accordance with the Google Privacy Policy. Please do not use this form to submit clinical records or detailed health information.
Do not use the referral form for emergencies or urgent medical assistance. For urgent medical assistance in Australia, call 000.