Authorization Letter To Release Information Template for Singapore

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Key Requirements PROMPT example:

Authorization Letter To Release Information Template

I need an Authorization Letter To Release Information Template for my medical records to be shared from Singapore General Hospital to my new specialist clinic in March 2025, ensuring compliance with healthcare privacy regulations and including specific conditions about the handling of diagnostic imaging.

Document background
The Authorization Letter To Release Information Template is a crucial document used in Singapore when an individual needs to formally authorize the disclosure of their personal, financial, medical, or other confidential information. This document is essential for compliance with Singapore's Personal Data Protection Act and related regulations. It serves as a legal instrument that protects both the information holder and the requesting party while ensuring the data subject's rights are preserved. The template is commonly used in various contexts, from healthcare and banking to employment and education, where secure and authorized information sharing is required.
Suggested Sections

1. Date: Current date of the authorization

2. Authorizing Party Details: Full name, identification details, and contact information of person giving authorization

3. Recipient Organization Details: Name and details of organization receiving the authorization

4. Purpose Statement: Clear statement of the purpose for which information is being released

5. Scope of Authorization: Specific types of information authorized for release

6. Duration: Validity period of the authorization

7. Signature Block: Space for signature and date of signing

Optional Sections

1. Third Party Recipients: Details of any third parties authorized to receive the information - include when information may be shared with parties beyond the primary recipient

2. Revocation Clause: Terms for revoking the authorization - include when the authorizing party wants explicit right to cancel

3. Confidentiality Requirements: Specific handling requirements for the information - include when dealing with sensitive information requiring special handling

Suggested Schedules

1. Identification Documents: Copies of relevant ID documents of the authorizing party

2. List of Authorized Information: Detailed list of specific records/information to be released

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

Relevant legal definitions
Industries

Personal Data Protection Act 2012 (PDPA): Main legislation governing the collection, use, and disclosure of personal data in Singapore. Requires explicit consent for data disclosure and defines organizational obligations for data handling.

Banking Act (Chapter 19): Governs banking secrecy and confidentiality, specifically regulating the disclosure of customer information by banks and financial institutions in Singapore.

Healthcare Services Act 2020: Regulates the disclosure of medical records and patient information, containing specific provisions about patient confidentiality in healthcare settings.

Official Secrets Act (Chapter 213): Regulates the disclosure of government-related information and official secrets in Singapore.

Evidence Act (Chapter 97): Covers the authentication and admissibility of documents in legal proceedings, relevant for authorization letters that may be used in court.

Electronic Transactions Act (Chapter 88): Provides legal recognition for electronic signatures and electronic documents, relevant for digitally executed authorization letters.

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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