Medical Authority Form

Medical Authority Form Template for Singapore

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Key Requirements PROMPT example:

"Need a Medical Authority Form for my elderly mother who requires ongoing treatment at Singapore General Hospital, authorizing both myself and my sister to make medical decisions on her behalf when she is unable to do so."

Document background

The Medical Authority Form is essential in Singapore's healthcare system where strict regulations govern patient consent and medical information handling. This document is typically used when specific authorization is needed for medical procedures, information sharing, or decision-making authority. It must comply with Singapore's healthcare legislation, including the PDPA and HCSA, and typically includes patient details, scope of authority, duration, and specific authorizations. The form serves as a legal record of patient consent and helps healthcare providers ensure compliance with local regulations.

Suggested Sections

1. Patient Information: Full details of the patient including name, NRIC, contact information

2. Healthcare Provider Details: Information about the medical facility and practitioners involved

3. Scope of Authority: Specific medical procedures or decisions being authorized

4. Duration of Authority: Time period for which the authority is valid

5. Declaration and Consent: Patient's acknowledgment and agreement to the authorization

Optional Sections

1. Authorized Representatives: Details of persons authorized to make decisions on patient's behalf when patient delegates decision-making authority

2. Research Authorization: Consent for use of medical information in research when medical information may be used for research purposes

3. Emergency Contact Information: Alternative contacts in case of emergencies when additional emergency contacts are needed

Suggested Schedules

1. Schedule 1: Specific Procedures: Detailed list of medical procedures being authorized

2. Schedule 2: Fee Schedule: Breakdown of applicable medical fees and charges

3. Appendix A: Medical History: Patient's relevant medical history and conditions

4. Appendix B: Supporting Documents: Copies of relevant identification or medical documents

Authors

Alex Denne

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

alex.den.21@genieai.co

Relevant legal definitions

Clauses

Relevant Industries

Healthcare
Elder Care
Medical Research
Insurance

Relevant Teams

Medical Administration
Legal
Compliance
Medical Records
Research & Development

Relevant Roles

Medical Director
Healthcare Administrator
Compliance Officer
Medical Records Manager
Clinical Research Coordinator

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Let's create your Medical Authority Form

Authors

Alex Denne

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