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Authorisation For Release Of Confidential Information
"I need an Authorisation For Release Of Confidential Information to allow my medical records to be shared from London Bridge Hospital to my new specialist at King's College Hospital, valid from January 2025 to December 2025."
1. Identity of Authorizing Party: Full legal name, address, and contact details of the person or entity giving authorization to release confidential information
2. Identity of Recipient: Full details of the person, organization, or entity authorized to receive the confidential information
3. Scope of Information: Detailed description of the specific confidential information authorized for release, including any limitations or restrictions
4. Purpose of Release: Clear statement of the intended purpose and use of the confidential information being released
5. Duration: Specific time period or circumstances under which this authorization remains valid
6. Data Protection Compliance: Statement of compliance with UK GDPR and Data Protection Act 2018 requirements
1. Revocation Rights: Details of the right to withdraw authorization and the process for doing so
2. Third Party Disclosure: Terms governing any subsequent disclosure to third parties, if permitted
3. Special Categories of Data: Additional provisions and safeguards for sensitive personal data as defined under UK GDPR
4. Capacity Declaration: Declaration of mental capacity when the authorizing party's capacity might be in question
1. Schedule 1 - Specified Information: Detailed inventory or categories of confidential information covered by this authorization
2. Schedule 2 - Identity Verification: Required identity verification procedures and acceptable forms of identification
3. Schedule 3 - Consent Forms: Additional specific consent forms required for particular types of information
4. Schedule 4 - Data Protection Notice: Detailed privacy notice explaining how the information will be processed and protected
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