The Emergency Release Form is a crucial document used in Hong Kong healthcare settings when immediate medical intervention is required and standard consent procedures may cause harmful delays. This document, governed by Hong Kong healthcare legislation and privacy laws, serves multiple purposes: it authorizes medical professionals to provide emergency treatment, documents the patient's consent (or their representative's), releases healthcare providers from liability for reasonable emergency actions, and ensures compliance with local data protection requirements. The form is particularly important in situations where rapid medical response is essential, such as in emergency departments, ambulatory care settings, or during sports events. It typically includes patient identification, emergency contacts, basic medical history, and consent declarations, all structured to meet Hong Kong's legal requirements while remaining practical for urgent situations.
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1. Patient Information: Essential personal details of the patient including full name, HKID/passport number, date of birth, and contact information
2. Emergency Contact Details: Information for primary and secondary emergency contacts, including their relationship to the patient
3. Medical Consent: Clear statement of consent for emergency medical treatment, procedures, and interventions
4. Liability Release: Statement releasing the healthcare provider from liability for reasonable actions taken during emergency care
5. Financial Responsibility: Acknowledgment of responsibility for medical expenses incurred during emergency treatment
6. Certification: Declaration that the information provided is true and acknowledgment of having read and understood the form
7. Signature Block: Space for signatures of the patient/guardian, witness, and date of signing
1. Medical History Summary: Brief medical history section, used when the form will serve as an ongoing emergency authorization
2. Specific Treatment Restrictions: Section for listing any specific treatments the patient does not consent to, used when patient has known preferences or religious restrictions
3. Guardian Authorization: Additional section required when the form is for a minor or person lacking capacity
4. Language Declaration: Statement confirming the form has been explained in a language the patient understands, used in cases where English is not the patient's primary language
5. Religious Preferences: Section specifying religious considerations that may affect treatment decisions, used when patient indicates specific religious requirements
6. Organ Donation Preferences: Optional section for indicating organ donation preferences in case of death, used for comprehensive emergency planning
1. Schedule 1: Allergies and Current Medications: Detailed list of known allergies and current medications
2. Schedule 2: Pre-existing Conditions: List of relevant pre-existing medical conditions that emergency personnel should be aware of
3. Appendix A: Emergency Treatment Protocol: Standard protocol followed by the healthcare provider in emergency situations
4. Appendix B: Patient Rights and Responsibilities: Document outlining the rights and responsibilities of patients during emergency treatment
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