The Medical Release of Liability document is essential for healthcare providers operating in the Philippines to manage legal risks while ensuring transparent communication with patients. This document is typically used before medical procedures, treatments, or interventions where specific risks need to be acknowledged and accepted by the patient. It must comply with Philippine healthcare regulations, including the Universal Health Care Act (Republic Act No. 11223), Data Privacy Act, and relevant provisions of the Civil Code. The document balances the healthcare provider's need for protection against liability with the patient's right to informed consent and quality care. It includes comprehensive details about medical procedures, potential risks, and limitations of the release, while maintaining compliance with Philippine medical practice standards and patient rights legislation.
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1. Parties: Identification of the healthcare provider/facility and the patient (including their legal capacity to enter into the agreement)
2. Background: Context of the medical treatment or procedure and the purpose of the release
3. Definitions: Clear definitions of key terms used in the document, including 'Treatment', 'Healthcare Providers', 'Medical Services', and 'Liability'
4. Acknowledgment of Risks: Patient's confirmation of understanding the risks, complications, and potential outcomes of the medical procedure or treatment
5. Voluntary Consent: Declaration that the patient is entering into the agreement voluntarily and has received adequate information
6. Scope of Release: Specific details of what liability is being released, including types of claims and covered incidents
7. Exceptions to Release: Clear statement of what is not covered by the release (e.g., gross negligence, willful misconduct)
8. Duration: Time period for which the release remains valid
9. Governing Law: Specification that Philippine law governs the agreement and relevant jurisdictional details
10. Severability: Provision stating that if any part is found invalid, the rest remains enforceable
11. Execution: Signature blocks and witnessing requirements
1. Emergency Contact Authorization: Optional section for authorizing emergency contacts and their decision-making powers
2. Insurance and Payment Provisions: Details about insurance coverage and payment responsibilities, if relevant to the treatment
3. Photo and Video Release: Optional authorization for taking and using medical photographs or videos
4. Translation Declaration: Required only if the patient's primary language is not English or Filipino
5. Special Medical Conditions: Section addressing any specific medical conditions that may affect treatment
6. Alternative Treatment Declaration: Acknowledgment of alternative treatments discussed and declined
1. Schedule A - Specific Procedures: Detailed description of medical procedures covered by the release
2. Schedule B - Known Risks: Comprehensive list of known risks and potential complications
3. Schedule C - Pre-existing Conditions: Documentation of relevant pre-existing medical conditions
4. Appendix 1 - Patient Information Form: Standard form collecting patient's medical history and current conditions
5. Appendix 2 - Consent Forms: Additional specific consent forms required for particular procedures
6. Appendix 3 - Information Sheets: Educational materials provided to patient about procedures and risks
Relevant legal definitions
Clauses
Relevant Industries
Healthcare
Medical Services
Hospitals
Clinics
Dental Practices
Ambulatory Surgery Centers
Diagnostic Centers
Rehabilitation Centers
Alternative Medicine Practices
Medical Tourism
Sports Medicine
Occupational Health
Relevant Teams
Legal
Compliance
Risk Management
Patient Relations
Medical Records
Quality Assurance
Administrative Services
Clinical Operations
Patient Safety
Medical Affairs
Relevant Roles
Medical Director
Hospital Administrator
Chief Medical Officer
Risk Management Officer
Legal Counsel
Compliance Officer
Patient Relations Manager
Clinical Operations Manager
Medical Records Officer
Quality Assurance Manager
Healthcare Facility Manager
Medical Practice Manager
Patient Safety Officer
Clinical Department Head
Administrative Services Manager
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