tiktok³ÉÈ˰æ

Dental Release Of Information Form Template for England and Wales

Create a bespoke document in minutes,  or upload and review your own.

4.6 / 5
4.8 / 5

Let's create your Dental Release Of Information Form

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.

Get your first 2 documents free

Your data doesn't train Genie's AI

You keep IP ownership of your information

Key Requirements PROMPT example:

Dental Release Of Information Form

"I need a Dental Release of Information Form to authorize the transfer of my complete dental records from London Bridge Dental Practice to my new dentist in Manchester, ensuring all X-rays and treatment history from the past five years are included."

Document background
The Dental Release of Information Form is essential for managing patient data privacy and consent in dental practices across England and Wales. This document is required whenever dental records need to be shared with third parties, whether for continuing care, insurance purposes, or legal proceedings. The form ensures compliance with UK data protection laws and healthcare regulations while protecting patient confidentiality. It includes specific details about what information can be released, to whom, and for what purpose, serving as a crucial record of patient consent and authorization.
Suggested Sections

1. Patient Information: Basic identifying information including name, date of birth, contact details

2. Request Details: Specific information being requested and purpose of the request

3. Consent Declaration: Express consent for information release and period of validity

4. Recipients Information: Details of who will receive the information

5. Data Protection Notice: Statement about how information will be used and protected

Optional Sections

1. Third Party Authorization: Used when someone other than the patient is authorizing release, applicable when legal representative or guardian is acting on patient's behalf

2. Specific Exclusions: Information patient wishes to exclude from release, used when patient wants to restrict certain information

3. Emergency Contact: Alternative contact details, included when requested by receiving party or for urgent matters

Suggested Schedules

1. Identity Verification Documents: Copies of required ID documentation

2. Proof of Authority: Documentation proving authority to act on patient's behalf, if applicable

3. Specific Records Request List: Detailed list of specific records being requested

Authors

Alex Denne

Head of Growth (Open Source Law) @ tiktok³ÉÈ˰æ | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

Relevant legal definitions






















Clauses




















Relevant Industries
Relevant Teams
Relevant Roles
Industries

UK General Data Protection Regulation (UK GDPR): Primary data protection legislation governing the processing of personal data, including principles of data processing, legal basis requirements, special category data handling (health data), and data subject rights

Data Protection Act 2018: UK's implementation of GDPR, specifically addressing processing of health records and safeguarding requirements in domestic law

Access to Health Records Act 1990: Legislation governing rights of access to health records and provisions for deceased patients' records

Common Law Duty of Confidentiality: Legal principle establishing patient confidentiality obligations and consent requirements in healthcare settings

General Dental Council Standards and Guidelines: Professional regulatory requirements specific to dental practice, including standards for record-keeping and information sharing

Mental Capacity Act 2005: Legislation governing decision-making for patients lacking capacity and requirements for legal representatives

Human Rights Act 1998: Fundamental rights legislation protecting right to privacy and personal data protection

The Caldicott Principles: Guidelines for handling and protecting patient information and establishing information sharing protocols in healthcare settings

Records Management Code of Practice for Health and Social Care 2021: Current guidance for managing healthcare records, including retention periods and security requirements

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,  Leaves of Absence, Confidentiality, Intellectual Property, Non-Solicitation, Non-Competition, Code of Conduct, Termination,  Severance Pay, Governing Law, Entire Agreemen

Find the exact document you need

Vehicle Release Form Towing

find out more

Vehicle Release Authorisation Form

find out more

Vehicle Property Release Form

find out more

Transcript Release Authorisation

find out more

Temporary Medical Permission Form

find out more

Temporary Guardian Medical Release Form

find out more

Simple Release Form

find out more

Simple Medical Release Form

find out more

Simple Medical Consent Form

find out more

Return To Work Medical Release

find out more

Release Of Medical Records To Family Members Form

find out more

Release Of Information Form For Rental History

find out more

Release Of Care Form

find out more

Release Letter Form

find out more

Protected Health Information Form

find out more

Probate Receipt And Release Form

find out more

Printable Medical Records Release Authorisation Form

find out more

Printable Media Release Form

find out more

Printable Dental Release Form

find out more

Physical Therapy Release Form

find out more

Photo Printing Rights Release Form

find out more

Permission To Use Photo Agreement

find out more

Paid In Full Release Form

find out more

Package Release Form

find out more

Military Medical Records Request Form

find out more

Mental Health Records Release Form

find out more

Medical Treatment Authorisation Form

find out more

Medical Treatment Authorisation And Consent

find out more

Medical Release Form To Return To Work

find out more

Medical Release Form For Family Members

find out more

Medical Release Consent Form

find out more

Medical Consent Authorisation Form

find out more

Licence Release Form

find out more

Legal Release Form

find out more

Letter Of Consent Medical Authorisation Form

find out more

Impound Release Form

find out more

Hospital Release Form

find out more

Hitech Release Form

find out more

Generic Printable Medical Records Release Authorisation Form

find out more

General Release Of Information Consent Form

find out more

General Medical Record Release Form

find out more

General Authorisation To Release Information Form

find out more

Employment Verification Release

find out more

Employer Release Of Information Form

find out more

Emergency Medical Treatment Authorisation Form

find out more

Emergency Medical Authorisation Form

find out more

Driving Record Consent Form

find out more

Dental Release Form

find out more

Dental Records Request Form

find out more

Dental Photo Consent Form

find out more

Dental Patient Release Form

find out more

Dental Medical Records Release Form

find out more

Daycare Medical Release Form

find out more

Consent To Release Personal Information Form

find out more

Consent To Release Medical Records

find out more

Consent For Release Of Protected Health Information

find out more

Client Authorisation To Release Information To Third Parties

find out more

Car Title Lien Release Letter

find out more

Basic Photography Release Form

find out more

Background Release Form

find out more

Authorisation To Use And Disclose Protected Health Information Form

find out more

Authorisation To Release Records

find out more

Authorisation To Release Personal Information

find out more

Authorisation To Release Loan Information

find out more

Authorisation To Release Legal File

find out more

Authorisation To Release Information To Family Members

find out more

Authorisation To Release Information To A Third Party Form

find out more

Authorisation To Release Information

find out more

Authorisation To Release Immunization Records

find out more

Authorisation To Release Health Care Information

find out more

Authorisation To Release Credit Information Form

find out more

Authorisation To Disclose Information

find out more

Authorisation Letter For Release Of Information

find out more

Authorisation For Disclosure Of Information Form

find out more

Authorisation For Disclosure

find out more

Authorisation Disclosure Form

find out more

Authorisation For Release Of Protected Health Information Phi

find out more

Authorisation For Release Of Personal Information

find out more

Authorisation For Release Of Information Form

find out more

Authorisation For Release Of Health Records

find out more

Authorisation For Release Of Health Information

find out more

Authorisation For Release Of Financial Information

find out more

Authorisation For Release Of Employment Records

find out more

Authorisation For Release Of Employment Information

find out more

Authorisation For Release Of Dental Records

find out more

Authorisation For Release Of Confidential Information

find out more

Authorisation For Release Of Cell Phone Records

find out more

Authorisation For Disclosure Of Protected Health Information Form

find out more

Authorisation For Disclosure Of Medical Information

find out more

Actor Release Form

find out more

Authorisation Of Release Of Unemployment Records Form

A legal form used in England and Wales to authorize the release of individual unemployment records in compliance with UK data protection laws.

find out more

Authorisation For Release Of Records

A legal document under English and Welsh law authorizing the release of specific records from one party to another, in compliance with UK data protection legislation.

find out more

Release Of Information Statement

A legal document under English and Welsh law authorizing and governing the release of specific information between parties while ensuring data protection compliance.

find out more

Printable Work Release Form

A legally binding document under English and Welsh law that formalizes the termination of employment and mutual release of claims between employer and employee.

find out more

Dental Release Of Information Form

A legal document under English and Welsh law authorizing the release of dental records and information to specified parties.

find out more

Work Release Form From Doctor

A medical document used in England and Wales certifying an employee's fitness to return to work, compliant with UK healthcare and employment regulations.

find out more

Universal Medical Release Form

A legal document under English and Welsh law authorizing the release of medical records to specified parties while ensuring data protection compliance.

find out more

Service Release Form

A legally binding document under English and Welsh law that releases parties from obligations and liabilities related to completed services.

find out more

Revocation Of Release Of Information Form

An English and Welsh law-compliant document for withdrawing previously granted authorization for information sharing and processing.

find out more

Release Form For Video Recording

A legal document under English and Welsh law that obtains consent for video recording and establishes usage rights for the recorded content.

find out more

Download our whitepaper on the future of AI in Legal

By providing your email address you are consenting to our Privacy Notice.
Thank you for downloading our whitepaper. This should arrive in your inbox shortly. In the meantime, why not jump straight to a section that interests you here: /our-research
Oops! Something went wrong while submitting the form.

³Ò±ð²Ô¾±±ð’s Security Promise

Genie is the safest place to draft. Here’s how we prioritise your privacy and security.

Your documents are private:

We do not train on your data; ³Ò±ð²Ô¾±±ð’s AI improves independently

All data stored on Genie is private to your organisation

Your documents are protected:

Your documents are protected by ultra-secure 256-bit encryption

Our bank-grade security infrastructure undergoes regular external audits

We are ISO27001 certified, so your data is secure

Organizational security

You retain IP ownership of your documents

You have full control over your data and who gets to see it

Innovation in privacy:

Genie partnered with the Computational Privacy Department at Imperial College London

Together, we ran a £1 million research project on privacy and anonymity in legal contracts

Want to know more?

Visit our for more details and real-time security updates.