Medical Authorization Letter Template for Nigeria

The Medical Authorization Letter is a critical document in Nigerian healthcare practice, designed to facilitate proper medical care while protecting patient rights and healthcare provider liability. This document becomes necessary when a patient needs to delegate medical decision-making authority or grant access to their medical information to specific individuals or healthcare providers. It must comply with the National Health Act 2014 and other relevant Nigerian healthcare regulations, including privacy laws and consent requirements. The letter typically includes detailed patient information, scope of authorization, duration, and necessary signatures, with additional provisions for special circumstances such as minors or individuals requiring language interpretation. Healthcare facilities in Nigeria commonly require this documentation before providing certain types of medical care or releasing sensitive medical information to designated parties.

1. Patient Information: Full legal name, date of birth, address, and contact information of the patient

2. Authorized Party Details: Complete information about the person/facility being authorized to provide or access medical care/information

3. Scope of Authorization: Clear specification of what medical actions/decisions are being authorized

4. Duration of Authorization: Specific timeframe for which the authorization is valid

5. Emergency Contact Information: Alternative contacts in case of emergency

6. Declaration of Sound Mind: Statement confirming the patient is of sound mind while giving authorization

7. Signature Block: Space for patient signature, date, and witness signatures