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Authorisation To Release Information Template for England and Wales

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Key Requirements PROMPT example:

Authorisation To Release Information

"I need an Authorization to Release Information for my medical records from London Bridge Hospital to be shared with my new healthcare provider in Manchester, valid from January 2025 to December 2025."

Document background
An Authorization to Release Information is essential when personal or confidential information needs to be shared between parties in compliance with UK data protection laws. This document is commonly used in situations where sensitive data must be transferred, such as medical records, financial information, or employment details. The authorization provides a clear legal framework for information sharing, protecting both the data subject and the organizations involved. Under English and Welsh law, this document ensures compliance with UK GDPR and related data protection requirements, while providing clear evidence of consent for information release.
Suggested Sections

1. Authorizing Party Details: Full name, address, and identification of the person giving authorization

2. Recipient Details: Details of the organization/person authorized to receive the information

3. Information Description: Specific description of information to be released

4. Purpose Statement: Clear statement of why the information is being released

5. Duration: Period for which the authorization remains valid

6. Signature Block: Space for signature, date, and witness if required

Optional Sections

1. Third Party Recipients: Additional section when information may be shared beyond initial recipient

2. Revocation Rights: Section detailing how authorization can be withdrawn

3. Special Categories: Section for sensitive data like health records or financial information

Suggested Schedules

1. Identity Verification Documents: Copies of ID documents confirming authorizing party's identity

2. Detailed Information List: Itemized list of specific information to be released

3. Privacy Notice: Details of how the information will be processed and protected

Authors

Alex Denne

Head of Growth (Open Source Law) @ tiktok³ÉÈ˰æ | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

Relevant legal definitions

























Clauses























Industries

UK General Data Protection Regulation (UK GDPR): Primary legislation regulating personal data processing in the UK, defining requirements for valid consent, establishing data subject rights, and setting standards for data protection

Data Protection Act 2018: The UK's implementation of data protection standards that supplements the UK GDPR, containing specific provisions about data processing and setting out exemptions and special cases

Freedom of Information Act 2000: Legislation governing access to information held by public bodies, relevant when public authorities are involved in information sharing

Access to Health Records Act 1990: Specific legislation governing access to medical records and health information, particularly relevant when health data is involved in the authorization

Human Rights Act 1998: Legislation incorporating Article 8 (right to privacy) and ensuring protection of private information in UK law

Common Law Duty of Confidentiality: Legal principle protecting confidential information and requiring valid consent for disclosure of private information

Electronic Communications Act 2000: Legislation validating the use of electronic signatures and electronic execution of documents

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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