I give my consent to Dr Edwina Moore / Mr Vladimir Bolshinsky, or their agents and advisors, to contact medical practitioners or other bodies I have consulted to obtain health and other information that may be pertinent to my care. I authorise those medical practitioners or bodies to release such information, which may include sensitive health information to Dr Edwina Moore / Mr Vladimir Bolshinsky, or their agents and advisors, as may be requested. This is in line with the National Privacy Act updated 1st November 2010.