Privacy Statement

The information collected by The Health Forum NZ may be used anonymously for statistical analysis and reporting purposes. Such data will be stored in the “Citizens’ Database”.

The following details may be recorded:

  • your name, date of birth, gender and ethnicity
  • your contact details
  • details about the vaccination/s you receive
  • any health events that occur following administration of the vaccine(s)

The Health Forum NZ, or any person acting on their behalf, are simply recording the information that you give. They do not purport to diagnose any condition, or make any causal link between any medical symptoms or condition that you describe and the cause of these.

No data will be shared with any other organisations, without your express permission.

Information submitted through this form or provided to The Health Forum NZ by another other means (including, but not limited to email, text or phone) will be stored securely in a confidential database, in line with our obligations under the Privacy Act 2020 and the Health Information Privacy Code 2020.

No future legal actions or advocacy will be taken, or any private testimonial details disclosed to any party without your express consent.

Access to your data is limited to only those with login access rights to the database, who can see, add or change that information on your behalf. Statistical reporting of the database is carried out anonymously with no access to your personal details.

If you wish to view your record at any time, please email with your full name and date of birth.

You can request to have your data removed  or amended at any time by emailing


Updated: 14/06/2022