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Consent Letter To Release Information
"I need a Consent Letter To Release Information for my medical records from Singapore General Hospital to be shared with my new healthcare provider in Australia, ensuring compliance with both Singapore's PDPA and international data transfer requirements."
1. Date and Reference Number: Current date and any reference numbers for tracking
2. Addressee Details: Full name and address of the recipient organization
3. Consenting Party Details: Full name and identification details of person giving consent
4. Scope of Information: Specific description of information to be released
5. Purpose of Release: Clear statement of why information is being released
6. Duration of Consent: Time period for which consent remains valid
7. Signature Block: Space for signature and date of signing
1. Third Party Recipients: List of additional parties authorized to receive information - include when information will be shared with multiple parties
2. Revocation Terms: Conditions under which consent can be withdrawn - include when providing option to withdraw consent
3. Witness Section: Space for witness details and signature - include when additional verification is required
1. Identity Verification Documents: Copies of identification documents of the consenting party
2. Authorization List: Detailed list of specific information authorized for release
3. Third Party Details: Information about authorized recipients if multiple parties involved
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