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I understand that this form is for general and appointment enquiries only, and not for medical advice. I agree not to include medical history, clinical details, or referrals. I acknowledge that my information will be handled securely by Clinic One and may be stored by our website provider, in line with Australian privacy laws. I consent to being contacted at the email address I’ve provided, including regarding matters related to my care. If additional documentation, such as a referral, is required, Clinic One will contact me to arrange secure transfer. I understand Clinic One may choose not to respond, and that for urgent medical care, I should contact emergency services *

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