Personal Information transfer and membership consent form

Personal Information transfer and membership consent form

Dear Member,

Podiatry Western Australia ACN 008 700 721 (Podiatry WA, we, us, our) is in the process of transitioning its membership operations to the Australian Podiatry Association (APodA), the national peak body for podiatrists in Australia.

To enable the continuation of your membership and the provision of member services under the APodA, we require your consent to disclose and transfer your personal information to the APodA.

This form explains:

  1. what personal information may be disclosed;
  2. the purposes for which it will be used;
  3. how your personal information will be handled; and
  4. your rights under Australian privacy law.

1. Your personal information

Please confirm or update your details below:











2. Personal information to be transferred/disclosed

Subject to your consent, Podiatry WA may disclose to the APodA personal information relevant to the transition and ongoing administration of your membership, which may include the following categories of personal information:

  1. your name and contact details
  2. your postal address;
  3. your professional registration details (including Ahpra registration);
  4. your membership history and membership status with us;
  5. your continuing professional development (CPD) records;
  6. records of event attendance and participation; and 
  7. any payment and billing information relating to your membership.

3. Purpose of transfer

Your personal information will be transferred to the APodA for the following purposes:

  1. to transition and continue your membership with the APodA;
  2. to administer and manage your membership;
  3. to provide member services, benefits, and communications;
  4. to communicate with you about professional development opportunities, events, and industry matters;
  5. to maintain your CPD records; and 
  6. to support professional representation and advocacy activities undertaken by APodA.

The APodA may use and disclose your personal information in accordance with its Privacy Policy, the Privacy Act 1988 (Cth), and the Australian Privacy Principles.

4. Handling of your personal information by the APodA 

Once disclosed, your personal information will be collected, held, and managed by the APodA in accordance with:

  1. the Privacy Act 1988 (Cth); and
  2. the Australian Privacy Principles (APPs).

The APodA’s Privacy Policy explains how it handles personal information and how you may access or correct your information or make a complaint.

5. Membership transition 

By providing your consent, you agree that:

  1. your membership with Podiatry WA will continue until the Membership Transfer Date (defined below); and,
  2. your membership will continue with the APodA from the Membership Transfer Date.

Membership Transfer Date means the date that is thirty (30) days after Completion occurs under the asset transfer deed between Podiatry WA and the APodA.

We will let you know the Membership Transfer Date as soon as possible after Completion occurs.

Any current membership term and prepaid fees will be honoured by the APodA on a substantially equivalent basis.

6. Your rights

You have the right to:

  1. Decline consent: You are not required to provide consent. If you do not consent, your personal information will not be disclosed to the APodA and you will not transition to an APodA membership. Your membership with Podiatry WA will end when Podiatry WA’s membership operations are transitioned to the APodA.
  2. Access your information: You may request access to personal information held about you by either Podiatry WA or the APodA.
  3. Correct your information: You may request correction of any personal information that is inaccurate, incomplete or out of date.
  4. Withdraw consent: After the transfer, you may withdraw your consent by contacting the APodA. Please note that withdrawal of consent may affect your ability to continue your membership or receive member services.

7. Consent

By submitting this form, I confirm that:

  • I have fully read and understood this consent form;
  • I freely and voluntarily consent to the disclosure and the transfer of my personal information from Podiatry WA to the APodA as described above;
  • I consent to becoming a member of the APodA with effect from the Membership Transfer Date;
  • I acknowledge that the APodA will handle my personal information in accordance with its Privacy Policy; and
  • I understand that I may decline consent and the consequences of doing so.