STATEMENT OF COLLECTION OF PERSONAL INFORMATION FROM PATIENTS

This statement is to inform you about the purposes and manner of collection of your personal data by the Hospital.

Please read this statement BEFORE you provide any personal data to us

I. Purposes of Collection

1. We shall collect from you :-
• your personal particulars such as your name, sex and identity card number for the purpose of identification;
• your address, telephone and emergency phone number for the purpose of communicating with you in future if necessary.

The provision of this data is obligatory. If you are not willing to supply such data, the Hospital will be unable to accept you for diagnostic or treatment purposes.

2. We shall also collect information regarding your medical/dental history or condition :-
• by asking you for such data;
• by means of normal clinical diagnostic procedures; and
• if you have been referred to this Hospital by another clinician by obtaining information from the referring source.

This type of personal data is for the purpose of assessing your suitability for acceptance for treatment, and, if so accepted, for teaching purposes and, if relevant, contributing to research projects. It will be kept indefinitely in case it is required for future statistical or research purposes.

The provision of such personal data is also obligatory, otherwise the Hospital cannot accept you for diagnostic or treatment purposes.

3. We shall collect from you information about your next-of-kin, your occupation or your parent's occupation (only if you are under the age of 18), your ethnic group and marital status for record and statistical purposes. Provision of these types of personal data is voluntary and you may decline to provide such information if you so wish.

II. Classes of Transferees

The personal data you provide will be kept confidential and are mainly for use by the relevant staff and students of the Hospital and the University of Hong Kong . However, we may provide such information :-

•  to third party service providers if we need their services (such as clinical, laboratory or technical services) in connection with treatment provided to you;
•  in the case of referrals from or to other clinicians, to the clinician who referred you to the Hospital or to the clinician to whom you are referred;
•  to any government departments or appropriate authorities by virtue of law.

In all circumstances, unless with your prior consent, the Hospital will not disclose your personal data to any person for any purposes other than the purposes stated above or a directly related purpose. Your identity will be omitted from any teaching or research material s that may be made available to persons outside the Hospital/University.

III. Access to Personal Data

You have a right of access and correction with respect to personal data as provided for in S ections 18 and 22 and Principle 6 of Schedule 1 of the Personal Data (Privacy) Ordinance. Your right of access includes the right to obtain a copy of your personal data provided by you or related to you. We shall charge you a reasonable fee for complying with your data access request.

IV. Change of Personal Data

Should there be any change in your telephone numbers and/or address, please inform the Registration Counter by phone on 2859 0234 or by fax to 2859 0232.

V. Enquiries

Enquiries concerning personal data management, including the making of access and corrections, are to be addressed to :-

Patient Relations Officer
The Prince Philip Dental Hospital
34 Hospital Road , Sai Ying Pun , Hong Kong.

(Telephone: 2859 0237 or Fax : 2859 0232)

PPDH 316