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Mental Health Release Form Template for England and Wales

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Key Requirements PROMPT example:

Mental Health Release Form

"I need a Mental Health Release Form for transferring patient records from London Bridge Hospital to a private mental health facility in Manchester, with specific provisions for sharing only the last 12 months of treatment records starting from January 2025."

Document background
The Mental Health Release Form is essential for managing the secure and lawful sharing of mental health information in England and Wales. It is used when mental health records need to be transferred between healthcare providers, shared with authorized third parties, or released to the patient themselves. The form ensures compliance with the Mental Health Act, data protection regulations, and medical confidentiality requirements. It includes crucial details about the scope of information to be released, consent verification, and the specific purposes for which the information may be used.
Suggested Sections

1. Patient Information: Personal details, NHS number, relevant identifiers

2. Healthcare Provider Details: Information about the releasing facility/professional

3. Consent Declaration: Express consent for information release and its scope

4. Information to be Released: Specific details of what information is being released

5. Purpose of Release: Stated purpose for information release

6. Duration of Validity: Time period for which the release is valid

Optional Sections

1. Third Party Authorization: Additional section required when information is to be released to someone other than the patient

2. Specific Exclusions: Section detailing information explicitly excluded from release, used when certain information should be withheld

3. Emergency Contact Details: Section for details of emergency contacts, used for ongoing care arrangements

Suggested Schedules

1. Schedule A: Detailed Medical Records List: Itemized list of specific records being released

2. Schedule B: Authorized Recipients: List of authorized persons/organizations to receive information

3. Appendix 1: Consent Withdrawal Form: Form to revoke consent for information sharing

4. Appendix 2: Privacy Notice: Detailed information about data protection rights and procedures

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

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Relevant Industries
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Industries

Mental Health Act 1983/2007: Primary legislation governing detention, treatment, and rights of people with mental health disorders. Includes key provisions for release procedures and aftercare services.

Mental Capacity Act 2005: Legislation that provides framework for making decisions for people who lack capacity, including principles for capacity assessment, advance decisions, and lasting powers of attorney.

Data Protection Act 2018 and UK GDPR: Legal framework for handling personal data, with specific provisions for processing sensitive health data and ensuring confidentiality in healthcare settings.

Human Rights Act 1998: Incorporates European Convention rights into UK law, particularly Article 5 (right to liberty) and Article 8 (right to private life) relevant to mental health care.

NHS Confidentiality Code of Practice: Guidelines establishing principles for handling patient information within the NHS, ensuring appropriate information sharing and protection.

Care Quality Commission Regulations: Regulatory standards for healthcare providers, including specific requirements for mental health care services and documentation.

Professional Standards - GMC/NMC/HCPC: Professional guidelines from regulatory bodies (General Medical Council, Nursing and Midwifery Council, Health and Care Professions Council) governing healthcare practitioners' conduct and documentation requirements.

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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