19 July 2023
AS Van Wey
[FYI request #23315 email]
Kia ora
Your Official Information Act request, reference: GOV-026284
Thank you for your email of 9 July 2023, asking for various information and documentation under the
Official Information Act 1982 (the Act).
Please find the requested documents attached
As staff names and vendor IDs were not requested, they have been deemed out of the scope of your
request and removed.
Consent document for disclosure, ACC6300
The ACC6300 outlines how ACC can use a client’s personal information (section 2) and contains a
declaration where the client authorises ACC to collect, use and disclose relevant information (section 3).
The form can be found online, here:
www.acc.co.nz/assets/provider/ACC6300-Authority-to-collect-
medical-and-other-records.docx.
Section 5 of the ACC2187 form
This section asks the treatment injury external clinical advisor to list literature (such as journal articles or
best practice guidelines) they have used or referenced in providing their advice.
ACC does not have a form for documents disclosed to third parties
Disclosure of information to third parties is managed electronically, with staff locating relevant documents
and saving them on the client’s file. Therefore, we are refusing to provide the form requested as it does
not exist. This decision has been made under section 18(e) of the Act.
ACC’s website does not contain a complete list of all policies, forms, or guidelines
Asking an agency to upload information to its website is not a request for official information. However, we
are currently working on your request for these lists (GOV-025935) and anticipate providing that
information in due course.
As this information may be of interest to other members of the public
ACC has decided to publish a copy of this response on ACC’s website. All requester data, including your
name and contact details, will be removed prior to release. The released response will be made available
www.acc.co.nz/resources/#/category/12. If you are not happy with this response
you can contact the Ombudsman
via [email address] or by phoning 0800 802 602.
Information about how to make a complaint is available at
www.ombudsman.parliament.nz. Ngā mihi
Sara Freitag
Acting Manager Official Information Act Services
Government Engagement
GOV-026284 Page 1 of 1
Document Outline
