Authorisation For Release Of Health Information Template for England and Wales

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Key Requirements PROMPT example:

Authorisation For Release Of Health Information

"I need an Authorisation For Release Of Health Information to allow my specialist at London Bridge Hospital to share my complete medical history with my new GP practice in Manchester, valid from January 2025 to December 2025."

Document background
The Authorisation For Release Of Health Information is essential in healthcare settings across England and Wales where patient confidentiality must be balanced with the need to share medical information. This document ensures compliance with UK data protection laws while facilitating necessary information sharing between healthcare providers, insurers, legal representatives, and other authorized parties. It specifies what information can be shared, with whom, and for how long, while maintaining patient rights and confidentiality requirements under UK GDPR and related regulations.
Suggested Sections

1. Patient Information: Full details of the patient including name, date of birth, address, and NHS number

2. Authorization Statement: Clear statement of consent for information release

3. Information to be Released: Specific description of what medical information is authorized for release

4. Recipient Details: Information about who is authorized to receive the information

5. Duration of Authorization: Time period for which the authorization is valid

6. Patient Rights: Statement of rights including right to revoke authorization

7. Signature Block: Space for patient or authorized representative signature and date

Optional Sections

1. Third Party Representative Authorization: Section to be included when someone other than the patient is authorized to act on their behalf

2. Mental Capacity Statement: Section for declaration regarding patient's mental capacity when there are concerns about capacity

3. Specific Exclusions: Section detailing any specific information that should not be released when patient wants to restrict certain information

Suggested Schedules

1. Proof of Identity: Copies of identification documents

2. Power of Attorney Documentation: Legal documentation proving authority to act

3. Specific Records List: Detailed list of specific records to be released if extensive

Authors

Alex Denne

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

Industries

UK General Data Protection Regulation (UK GDPR): Primary data protection legislation covering principles of data processing, legal basis for processing, special category data requirements, and data subject rights

Data Protection Act 2018: UK implementation of GDPR including additional requirements for health data and safeguards for processing sensitive data

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 medical confidentiality obligations and patient consent requirements

Mental Capacity Act 2005: Legislation addressing considerations for patients lacking capacity and powers of attorney provisions

Health and Social Care Act 2012: Framework establishing information governance requirements and NHS information sharing protocols

Caldicott Principles: Guidelines establishing standards for handling patient information and confidentiality in healthcare settings

Professional Guidelines: Collective guidance from GMC, NHS Digital, and Information Commissioner's Office on handling medical information

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

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