Authorisation To Release Information To A Third Party Form Template for England and Wales

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Key Requirements PROMPT example:

Authorisation To Release Information To A Third Party Form

"I need an Authorisation To Release Information To A Third Party Form that allows my medical records to be shared with a specialist clinic in London for a six-month period starting from January 2025, with specific provisions for maintaining confidentiality of mental health information."

Document background
The Authorisation To Release Information To A Third Party Form is a crucial document used when personal information needs to be shared between organizations or individuals in England and Wales. It ensures compliance with data protection legislation, particularly the UK GDPR and Data Protection Act 2018. This form is essential when an individual needs to grant explicit permission for their information to be shared, whether for medical, financial, educational, or other purposes. It provides protection for all parties involved by clearly documenting the scope and limitations of the information sharing agreement.
Suggested Sections

1. Data Subject Details: Full name, contact information, and any relevant identification numbers of the person whose information will be shared

2. Authorized Third Party: Details of the person or organization authorized to receive the information

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

4. Purpose of Release: Clear statement of why the information is being released

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

6. Declaration and Signature: Confirmation of understanding and consent, with signature space

Optional Sections

1. Specific Restrictions: Any limitations on how the information can be used, when specific constraints are needed

2. Revocation Rights: Information about how to withdraw consent, particularly relevant for long-term authorizations

3. Witness Section: For situations requiring additional verification of identity or capacity

4. Special Categories of Data: Additional declarations for sensitive data (health, criminal records, etc.)

Suggested Schedules

1. Identity Verification Documents: Copies of identification documents used to verify the data subject's identity

2. Specific Information Schedule: Detailed list of specific records or information to be released when the main form requires elaboration

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 legislation regulating the processing of personal data, defining requirements for lawful data sharing, and establishing core principles of data protection

Data Protection Act 2018: The UK's implementation of data protection laws that supplements the UK GDPR and contains specific provisions about data processing

Freedom of Information Act 2000: Legislation governing access to information held by public authorities, relevant when the information holder is a public body

Common Law Duty of Confidentiality: Legal principle protecting confidential information and requiring explicit consent for disclosure of private information

Mental Capacity Act 2005: Legislation relevant for determining the capacity of the person giving authorization and ensuring validity of consent

Access to Health Records Act 1990: Specific legislation governing access to medical records and health information

Human Rights Act 1998: Legislation incorporating Article 8 (right to privacy) and requiring balance between privacy rights and information sharing

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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