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Authorisation For Release Of Health Records Template for England and Wales

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Key Requirements PROMPT example:

Authorisation For Release Of Health Records

"I need an Authorisation For Release Of Health Records to allow my new specialist at London Bridge Hospital to access my complete medical history from my previous GP practice, with the authorization valid from January 2025 to December 2025."

Document background
The Authorisation For Release Of Health Records is a crucial document required when medical records need to be shared between healthcare providers or with third parties in England and Wales. This authorization ensures compliance with data protection laws and maintains patient privacy while facilitating necessary information sharing. The document specifies the scope of records to be released, the intended recipient, and the duration of the authorization. It is particularly important in cases involving insurance claims, legal proceedings, or continued medical care across different providers.
Suggested Sections

1. Patient Details: Full name, date of birth, NHS number, current address and contact information of the patient whose records are being requested

2. Authorisation Statement: Clear and explicit statement of consent for the release of medical records, including reference to relevant data protection legislation

3. Scope of Records: Detailed specification of which medical records are to be released, including relevant date ranges and types of information

4. Recipient Details: Complete information about who is authorized to receive the records, including organization name, address, and contact details

5. Time Period: Specification of the duration for which the authorization remains valid and expiry date if applicable

6. Declaration: Formal declaration section including patient signature, date, and witness information if required

Optional Sections

1. Third Party Authorization: Additional section for cases where someone other than the patient is authorizing the release, including legal authority verification

2. Specific Exclusions: Section detailing any specific records or information that should be explicitly excluded from the release

3. Purpose of Release: Statement explaining the specific purpose for which the records are being requested and will be used

4. Data Protection Notice: Additional information about how the released information will be handled and protected under relevant data protection laws

Suggested Schedules

1. Schedule 1 - Proof of Identity: Requirements and attached copies of required identification documents to verify the patient's identity

2. Schedule 2 - Power of Attorney Documentation: Where applicable, attached documentation proving authority to act on patient's behalf

3. Schedule 3 - Specific Record Request Form: Detailed form listing specific records requested, including dates and types of records

4. Schedule 4 - Fee Schedule: If applicable, details of any fees associated with the release of records

Authors

Alex Denne

Head of Growth (Open Source Law) @ tiktok成人版 | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

Relevant legal definitions






























Clauses

























Industries

UK General Data Protection Regulation (UK GDPR): Primary legislation governing personal data processing in the UK, including principles of data processing, special category data provisions, data subject rights, and requirements for explicit consent

Data Protection Act 2018: UK's implementation of GDPR including additional safeguards for health data and specific provisions for processing special category data

Access to Health Records Act 1990: Legislation governing access to health records, particularly relevant for deceased patients' records, including rights of access and various limitations and exceptions

Mental Capacity Act 2005: Framework for making decisions for patients lacking capacity, including provisions for powers of attorneys, deputies, and best interests decision-making

Common Law Duty of Confidentiality: Legal principle covering medical confidentiality obligations, Caldicott Principles, and professional obligations in healthcare

Health and Social Care Act 2012: Legislation establishing information governance requirements and NHS information sharing frameworks

Professional Guidelines: Regulatory and professional body guidance including GMC guidance, BMA guidelines, and NHS Digital guidance for healthcare information handling

Teams

Employer, Employee, Start Date, Job Title, Department, Location, Probationary Period, Notice Period, Salary, Overtime, Vacation Pay, Statutory Holidays, Benefits, Bonus, Expenses, Working Hours, Rest Breaks, 聽Leaves of Absence, Confidentiality, Intellectual Property, Non-Solicitation, Non-Competition, Code of Conduct, Termination, 聽Severance Pay, Governing Law, Entire Agreemen

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