Form: Privacy Complaint Form (Health Information)

Privacy Complaint Form (Health Information)

Use this form If your complaint concerns the handling of your health information by a NSW private health service provider or organisation. If you wish to make a complaint about the conduct of a government agency regarding your personal information please use the template above and submit your application to the appropriate agency.

Following completion of this form, your application will be registered in the IPC's system and referred to the relevant staff member for a response. You will receive an acknowledgement within 2 business days. Should you NOT receive correspondence from the IPC after this time, please contact the IPC on 1800 472 679 or via ipcinfo@ipc.nsw.gov.au.