Protection of Personal Information (POPI) Act


Your privacy is important to us. We want to communicate with you and deal with your personal information with your consent and in line with South African privacy law including the Protection of Personal Information Act (POPIA). Please sign below to consent to us processing your personal information. Our Privacy Notice added as an addendum to this contract, contains further details on how we process your personal information.

I am aware of the following regarding the practice’s POPI Act policy:

  • We collect and store the information about you for us to adhere to the administrative requirements of the practice.
  • We collect and store information about you for us to continually assess, treat and manage your child’s clinical best interest.
  • We will use your personal information only for the purposes for which it was collected and agreed upon with you.
  • We may disclose your personal information to our service providers who are involved in the delivery of services to you (i.e. for billing purposes). We have agreements in place to ensure that they comply with the privacy requirements as required by the Protection of Personal Information Act.
  • We will, on an ongoing basis, continue to review our security controls and related processes to ensure that your personal information remains secure.
  • You have the right to request a copy of the personal information we hold about you. Please note that any such access request may be subject to payment of a legally allowable fee.