Medicare urgent care clinics data consent form
The Medicare Urgent Care Clinics (Medicare UCC) Data Consent form is available in 13 languages. When visiting a Medicare UCC, you will be given this consent form asking for your consent to share your information with the Department. You do not need to bring this form with you when you visit a Medicare UCC. If you decide not to consent, you will still be treated at the Medicare UCC.
- Organisation:
- Topic:
- Target audience:
- New arrivals
- Service area:
- National
- Published:
- September 2023
- Last reviewed:
- June 2026
Multilingual resources
Arabic - Medicare urgent care clinics data consent form
Chinese (Simplified) - Medicare urgent care clinics data consent form
Chinese (Traditional) - Medicare urgent care clinics data consent form
Greek - Medicare urgent care clinics data consent form
Hindi - Medicare urgent care clinics data consent form
Italian - Medicare urgent care clinics data consent form
Korean - Medicare urgent care clinics data consent form
Punjabi - Medicare urgent care clinics data consent form
Spanish - Medicare urgent care clinics data consent form
Tagalog (Filipino) - Medicare urgent care clinics data consent form
Thai - Medicare urgent care clinics data consent form
Vietnamese - Medicare urgent care clinics data consent form
