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An Authorization For Release Of Medical Information is a critical document used in the German healthcare system when medical information needs to be shared between healthcare providers, insurance companies, or other authorized parties. This document is essential for maintaining compliance with Germany's strict data protection laws, including the Federal Data Protection Act (BDSG) and EU GDPR requirements. It becomes necessary when patients need to transfer their medical records to new healthcare providers, share information with insurance companies, or provide access to their medical history for specialized treatment or research purposes. The authorization must explicitly detail the scope of information to be released, the purpose of the release, and the duration of the authorization, while ensuring the patient's privacy rights are protected under German law. This document is particularly important given Germany's emphasis on medical data confidentiality and patient privacy rights.

1. Patient Information: Full legal name, date of birth, address, contact information, and health insurance number of the patient

2. Healthcare Provider Information: Details of the healthcare provider/facility currently holding the medical information, including name, address, and contact details

3. Recipient Information: Details of the person or entity authorized to receive the medical information, including name, address, and contact details

4. Scope of Authorization: Specific description of medical information to be released, including type of records, date ranges, and any specific exclusions

5. Purpose of Disclosure: Clear statement of the reason for releasing the medical information

6. Data Protection Statement: GDPR-compliant statement about data protection rights and handling of sensitive medical information

7. Duration of Authorization: Specification of how long the authorization remains valid

8. Revocation Rights: Statement of the right to revoke the authorization and the process for doing so

9. Signatures and Date: Space for patient signature (or legal representative) and date, with attestation of capacity to consent