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Information Act 2002, Section 18
Please complete this online form to apply under the NT Information Act 2002 to access records and information held by NT Health (Department of Health, Top End Health Service and Central Australia Health Service).
Privacy Statement: The Information Act 2002 (the Act) requires you to supply your name and address and sufficient details to identify the information you require. Your personal information will be collected, used and may be disclosed only in accordance with the Act to assist with your request.
Application fee is dependent on what information you are seeking to access:
As per the above criteria, if an application fee is required, payment can be made with the Receiver of Territory Monies (RTM). Once payment is made, the RTM will provide you with a receipt number which you will need to enter when completing this form.
Please note your application will not be accepted until the application fee is paid and proof of receipt provided.
In some cases the application fee may be reduced or waived, however, you must request this via the Application for Reduction or Waiver form.
Your proof of identification is required before your application will be accepted.
Your application should include sufficient details to identify the information sought, such as relevant date range, subject matter, people involved, hospital or health centre attended.
You will be able to directly type or paste this information into the below online form, or upload it as a one separate document, if necessary (limit one file of maximum 2 MB).
This online application form cannot be saved, therefore it is recommended you follow the above steps regarding the application fee, identification and description required before starting your online application.
For all queries regarding this application, please phone (08) 8999 2880 or email infoprivacyhealth.THS@nt.gov.au
Last updated: 06 October 2020
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