Part B: Submissions to inquiry - for providers and current/former employees

DO YOU WISH TO REMAIN ANONYMOUS?

Yes

No

Even if you ticked the box to show you want to remain anonymous, if we have any follow-up questions it would assist us to be able to contact you. For that reason, please provide us with as much information as possible, including your personal details, but clearly noting that you want your submission to be anonymous.

Q.1 Please provide your personal details, including:

Name

Email

Phone

Address

Are you making a submission on behalf of an ART provider/clinic or other fertility service?

Yes

No

Please provide the name of the provider/clinic or other fertility service, and your role within the organisation.

Are you making a submission as a current/former employee of an ART provider/clinic or other fertility service?

Yes

No

Please name the provider and briefly describe your role.

Q.2 (a) Does your ART provider/clinic advertise its services?

Yes

No

Q.2 (b) Does your ART provider/clinic use patient testimonials to promote its services?

Yes

No

Q.3 How does your ART provider/clinic provide patients with information regarding treatment options, success rates, risks, possible outcomes and costs?

Q.4 Counselling is an important part of ART and a legal requirement. Please set out details of the counselling your ART provider/clinic provides to patients who wish to undergo ART.

Q.5 (a) Does your ART provider/clinic offer ‘add ons’ or adjuvant treatments?

Yes

No

If so, how are these discussed with patients?

Q. 5 (b) Is the efficacy of such ‘add ons’ and adjuvant treatments discussed with patients?

Yes

No

If so, please describe the process for discussing the efficacy and sorts of information given in relation to ‘add ons’ and adjuvant treatments.

Q.6 (a) Does your ART provider/clinic have a complaints handling system or processes?

Yes

No

If so, please explain how complaints are handled within your service.

Q.6 (b) Is your ART provider/clinic aware of the role of the Health Complaints Commissioner?

Yes

No

Q.7 If a patient makes a complaint to your ART provider/clinic, what information is the patient given about their rights in relation to the complaint?

Q.8 How does your clinic manage adverse events? Please briefly describe the process that follows an adverse event.

Q.9 Please provide any further information you would like the Commissioner to consider in this Inquiry.

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Part B: Submissions to inquiry - for providers and current/former employees