Referral Form
Referral forms are for doctor use only
This website provides facilities to make an on-line payment, request an appointment, or make a general enquiry. University Hospital Radiology Group (Cork) is committed to protecting the privacy of the users of its web site and employs all reasonable efforts to ensure that any data retained is protected against unauthorised access.
University Hospital Radiology Group (Cork) will not disclose your information to any third parties, except to financial institutions for the purpose of processing on-line payments, within the extent of applicable laws, including data protection laws. By using these facilities you acknowledge your consent to these privacy provisions.
In this notice, we explain how we collect personal data about you, how we use it and how you can contact us about it. We try to keep this notice as simple as possible but if you are unfamiliar with the terms or would like more details, you can also ask at the clinic reception, visit our website or contact us on 021-4542473.
The University Hospital Radiology Group (UHRG) is a Medical Partnership which provides Diagnostic Radiology Services to the public, both in our clinic in the campus of Cork University Hospital (CUH) and also
in CUH by contract. We use your data to provide Diagnostic Radiology Services, make insurance claims and process payments, comply with legal and regulatory requirements, and improve our services.
Our Data Protection Officer is Dr Kevin O’Regan, Manging Partner of UHRG, who manages how we collect, use, share, and protect your data to ensure your rights are respected, protected and enforced.
We collect personal and medical data about you when we receive Radiology requests from your referring doctor. We confirm this data with you when an appointment, examination or payment is made. We also collect data from CUH for Diagnostic Radiology, financial and insurance claim purposes.
We protect your data with security measures under the laws that apply including the 2018 General Data Protection Regulation (GDPR). We keep our computers, files and buildings secure. If you contact us to ask
about your data, we will ask you to identify yourself by providing your name, address and date of birth. This is to help protect your data.
To meet our legal and regulatory obligations, we store data about your Radiology examination(s) for a period of time consistent with the Health Service Executive National “Standards and Recommended Practices for Healthcare Records Management” (2013). The specified periods are as follows: printed X-Ray film for 7 years and printed X-Ray registers for 30 years; electronic Radiology reports and images for an indefinite period, as they are useful for future Diagnostic purposes, and also form part of the patient record which is subject to variable periods depending on the patient profile and national regulations.
To use your data lawfully, we rely on the following as the legal basis for processing your data: (1) your consent and (2) the necessary medical data from your referring doctor to perform Diagnostic Radiology on your behalf. To meet our regulatory and legal obligations, we collect the minimum necessary data required for providing professional Diagnostic Radiology Services, verify it, keep it up to date whenever you contact us, and delete it once we are no longer required to store it. If you do not provide the data we need, or help us keep it up to date, we may not be able to provide you with Diagnostic Radiology services.
We need your consent to use your personal data. Before you give your consent, we tell you what data we collect and what we use it for. You can remove your consent at any time by contacting us.
We use your data to provide Diagnostic Radiology Services and process payment transactions and insurance claims. We do not use or share your data for any other reason such as marketing.
We share your medical data with your referring doctor, and as some Diagnostic Services are carried out in CUH only (CT, Nuclear Medicine, Mammography, Injection Procedures, Biopsies and certain Ultrasound
examinations) we also share your medical data with CUH and the third-party CUH provider of CT Radiographic Services (Alliance Medical Diagnostic Imaging Limited). We may also share your data with our nominated Health Insurance Claims agent (Medical Accounts Services Limited) and also Health Insurance Providers or Financial Institutions for insurance claims and payment transactions only. We expect your referring doctor and all other third parties to have equal levels of data protection. We may also have to share data to meet any legal obligations or regulations, but will always inform you if we are legally obliged to share your data for any reason.
We will only transfer your personal data outside of the European Economic Area (EEA) if your referring doctor practices outside the EEA, or if we are legally obliged to do so. We expect the same standard of data protection to be applied outside of the EEA to these transfers and the use of the data, to ensure your rights are protected.
You will find data about your rights, when they apply and our responsibility to you on our website. You can exercise your rights by asking for details at the clinic reception, visiting our website or by contacting us on 021-4542473. You can ask us for a copy of the personal data we hold, but please note that we strictly provide the Diagnostic Radiology Report only to your referring doctor who requested the examination on your behalf and to whom we report, and if you seek a copy of the Diagnostic Radiology report, you must request this from your referring doctor as we cannot provide you with a copy under the general medical regulations. You can ask us about how we collect, share and use your personal data. You can change your mind after you give us your consent (your right to withdraw consent). You can ask us to delete your personal data (your right to be forgotten). Where possible we may share a digital copy of your data directly with you or your referring doctor (your right to portability). When you contact us to ask about your data, we will ask you to identify yourself by providing your name, address and date of birth (our obligation to protect your data). We do not charge you if you contact us to ask about your data.
If you have a complaint about the use of your personal data, please contact a member of staff in our clinic as quickly as possible. If you wish to make a complaint you may do so in person, by telephone, in writing and by email. Please be assured that all complaints received will be fully investigated. We ask that you supply as much information in writing as possible to help our staff resolve your complaint quickly. You can also contact the Data Protection Commission in Ireland at www.dataprotection.ie.
We may make changes to this notice from time to time, particularly if changes occur in the organisation, regulation or provision of our Radiology services. You can always find an up-to-date version of this notice on our website. You will also find a copy on display in our clinic or you can ask us for a copy at reception.
Dr Kevin O’Regan
Managing Partner
University Hospital Radiology Group
25 May 2018
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