Authorization To Release Information To A Third Party Form Template for Singapore

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Key Requirements PROMPT example:

Authorization To Release Information To A Third Party Form

"I need an Authorization To Release Information To A Third Party Form that allows my medical records from Singapore General Hospital to be shared with my new specialist clinic in Australia for the next 12 months, starting from January 2025."

Document background

The Authorization To Release Information To A Third Party Form is essential in situations where secure and documented permission is needed to share confidential information. This document, governed by Singapore law, particularly the PDPA 2012, enables organizations to legally and safely share specified information while maintaining compliance with data protection requirements. It's commonly used in healthcare, financial services, and other sectors where sensitive information needs to be shared with specific parties for legitimate purposes while maintaining proper documentation and audit trails.

Suggested Sections

1. Authorizing Party Details: Full name, identification, contact information of the person giving authorization

2. Recipient Party Details: Details of the third party authorized to receive the information

3. Information Scope: Specific description of information authorized for release

4. Duration of Authorization: Time period for which the authorization remains valid

5. Purpose of Disclosure: Stated purpose for which information may be used

Optional Sections

1. Special Handling Instructions: Additional provisions when specific security or confidentiality measures are required for handling sensitive information

2. Medical Information Release: Additional provisions and specific requirements when releasing medical records or health information

3. Financial Information Release: Additional provisions and specific requirements when releasing banking or financial information

4. Emergency Contact: Alternative contact information for urgent matters related to the information release

Suggested Schedules

1. Schedule 1 - Identification Documents: Copies of relevant identification documents of the authorizing party

2. Schedule 2 - Supporting Documentation: Any additional documents supporting the need for information release

3. Schedule 3 - Proof of Authority: Documents proving authority to act (if applicable, e.g., power of attorney, court orders)

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

alex.den.21@genieai.co

Relevant legal definitions

Clauses

Relevant Industries

Healthcare
Financial Services
Education
Employment
Legal Services

Relevant Teams

Legal
Compliance
Human Resources
Medical Records
Information Security
Customer Service

Relevant Roles

Data Protection Officer
Compliance Manager
HR Manager
Medical Records Officer
Legal Counsel

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Let's create your Authorization To Release Information To A Third Party Form

Authors

Alex Denne

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