Personal Information transfer consent form

Personal Information transfer consent form

Dear Podiatry WA contact,

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

Our records indicate that you are in Podiatry WA contact database and we'd like to make sure you don't lose your connection to the podiatry community once Podiatry WA ceases to operate. To enable this 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 operations and future professional communications, which may include:

  1. your name and contact details (such as email address, phone number and postal address)
  2. your organisation or business affiliation (if recorded); and 
  3. records of your interactions with us (for example, event attendance or enquiries).

3. Purpose of transfer

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

  1. inform you about professional development opportunities, events, and conferences;
  2. provide updates on podiatry industry matters, advocacy, and professional issues;
  3. invite you to apply for membership of APodA; and
  4. communicate with you on matters relevant to the podiatry profession in Australia.

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 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. No obligation to become a member  

By providing your consent, you agree that:

  1. Providing consent under this form does not make you a member of APodA.
  2. Membership of APodA is entirely voluntary and would require a separate application process.

6. Your rights

You have the right to:

  1. Decline consent: You are not required to provide consent. If you do not return this form, your contact information will not be disclosed to APodA.
  2. Access your information: You may request access to personal information held about you by either Podiatry WA or APodA.
  3. Correct your information: You may request correction of any personal information that is inaccurate, incomplete or out of date.
  4. Withdraw consent: If your information is transferred, you may opt out of receiving communications from APodA at any time using the unsubscribe mechanism provided or by contacting APodA directly.

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.