The Generic Printable Medical Records Release Authorisation Form is a essential document used in healthcare settings across England and Wales when patients need to authorize the release of their medical information. This form is designed to comply with UK data protection laws, including GDPR and the Data Protection Act 2018, while ensuring healthcare providers have proper authorization to share confidential medical information. It's particularly useful when medical records need to be transferred between healthcare providers, shared with insurance companies, or accessed by legal representatives. The form includes specific provisions for patient identification, record specification, and consent verification, making it a comprehensive tool for managing medical information releases.
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1. Patient Information: Full name, date of birth, address, contact details, NHS number
2. Healthcare Provider Details: Name and address of the healthcare provider holding the records
3. Records Request Specification: Type and date range of records being requested
4. Recipient Information: Details of where/to whom records should be sent
5. Authorization Statement: Express consent for release of records
6. Duration of Authorization: Time period for which authorization remains valid
1. Third Party Authorization: Additional section required when records are to be released to someone other than the patient
2. Legal Representative Details: Information about person with legal authority to request records (e.g., power of attorney)
3. Specific Exclusions: Section for specifying any records to be excluded from release
1. Proof of Identity: Requirements and checklist for acceptable ID documents
2. Proof of Authority: Requirements for legal documents proving authority to request records
3. Fee Schedule: Schedule of costs associated with record copying and release, if applicable
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