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Mental Health Release Form for the United Kingdom

Mental Health Release Form Template for England and Wales

A Mental Health Release Form is a legal document used in England and Wales that authorizes the disclosure of mental health records and information. It complies with the Mental Health Act 1983/2007, Mental Capacity Act 2005, and data protection legislation. The form ensures proper consent for sharing sensitive mental health information while protecting patient rights and confidentiality. It includes specific provisions for information sharing, duration of authorization, and details of both the releasing and receiving parties.

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What is a Mental Health Release Form?

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.

What sections should be included in a Mental Health Release Form?

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

What sections are optional to include in a Mental Health Release Form?

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

What schedules should be included in a Mental Health Release Form?

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) @ tiktok成人版 | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents

Jurisdiction

England and Wales

Cost

Free to use

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