The Medical Authorization Letter serves as a crucial document in Hong Kong's healthcare system, providing a formal mechanism for patients to authorize medical procedures, treatments, or decision-making authority to healthcare providers or designated representatives. This document becomes essential in situations where explicit consent is required for medical procedures, when a patient needs to delegate healthcare decision-making authority, or when medical information needs to be shared between different healthcare providers. The letter must comply with Hong Kong's healthcare regulations, including the Personal Data (Privacy) Ordinance and Hospital Authority guidelines, while ensuring proper documentation of informed consent. It is particularly relevant in both public and private healthcare settings, emergency situations, and cases involving ongoing medical treatment or care.
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Your data doesn't train Genie's AI
You keep IP ownership聽of your docs
1. Date and Location: Current date and place of execution of the letter
2. Authorized Healthcare Provider Details: Full name, address, and registration number of the healthcare provider or facility being authorized
3. Patient Information: Complete identification details of the patient including full name, HKID/passport number, date of birth, and address
4. Authorized Representative Details: If applicable, full identification details of the person giving authorization on behalf of the patient
5. Scope of Authorization: Clear and specific description of the medical treatments, procedures, or decisions being authorized
6. Duration of Authorization: Specific time period for which the authorization is valid
7. Declaration of Capacity: Statement confirming the patient's mental capacity to give authorization
8. Signature Block: Space for patient/representative signature, witness signatures, and date
1. Emergency Contact Information: Additional contacts to be reached in case of emergency - include when patient requests
2. Specific Treatment Restrictions: Any specific procedures or treatments that are explicitly not authorized - include when patient has specific exclusions
3. Language Preference: Preferred language for medical communication - include in cases of non-English/non-Chinese speaking patients
4. Religious or Cultural Considerations: Specific religious or cultural preferences affecting medical treatment - include when relevant to patient's beliefs
5. Insurance Information: Details of medical insurance coverage - include when treatment costs are to be claimed from insurance
1. Schedule A - Medical History: Relevant medical history, current medications, and known allergies
2. Schedule B - Specific Procedures: Detailed list of specific procedures being authorized, if any
3. Appendix 1 - Identity Documents: Copies of relevant identification documents of patient and/or representative
4. Appendix 2 - Supporting Medical Documentation: Any relevant medical reports or documentation supporting the need for authorization
Find the exact document you need
Medical Information Disclosure Consent Form
A Hong Kong-compliant consent form for authorizing the disclosure of patient medical information to specified parties, adhering to local privacy and healthcare regulations.
Download
Insurance Verification Form
A Hong Kong-compliant form for verifying insurance coverage details and policy information, regulated under the Insurance Ordinance (Cap. 41).
Download
Travel Consent Letter For Separated Parents
A Hong Kong-compliant legal document providing authorization from a separated parent for their child to travel internationally with the other parent.
Download
Insurance Authorization Letter
A Hong Kong-compliant legal document authorizing insurance companies or designated parties to act on behalf of the policyholder in insurance-related matters.
Download
Insurance Referral Agreement
A Hong Kong law-governed agreement between an insurance company and a referrer for the structured referral of potential insurance customers, compliant with local regulatory requirements.
Download
Insurance Pooling Agreement
A Hong Kong law-governed agreement establishing an insurance pool arrangement between multiple insurers for collective risk sharing and underwriting.
Download
Insurance Confirmation Letter
A formal document issued under Hong Kong law that confirms the existence and details of specific insurance coverage.
Download
Insurance Addendum
A Hong Kong law-governed document that modifies an existing insurance policy by amending specific terms and conditions while maintaining compliance with local insurance regulations.
Download
Property Damage Claim Letter
A formal letter under Hong Kong law requesting compensation for property damage, detailing incident specifics and claim amount.
Download
Car Insurance Agreement
A Hong Kong-governed agreement establishing motor vehicle insurance coverage terms, including mandatory third-party and optional comprehensive coverage.
Download
Price Purchase Agreement
A Hong Kong law-governed agreement establishing terms and conditions for the purchase and sale of goods, including pricing, delivery, and quality requirements.
Download
Insurance Settlement Agreement
A Hong Kong law-governed agreement that documents the settlement terms and mutual releases between insurers and claimants in insurance claim resolutions.
Download
Transfer Of Copyright Ownership Form
A Hong Kong law-governed document that legally transfers all copyright ownership rights from one party to another, complying with the Copyright Ordinance (Cap. 528).
Download
Health Information Form
A Hong Kong-compliant health information collection form for gathering patient medical data with necessary privacy protections and consents.
Download
Ground Lease Agreement
A comprehensive agreement governing long-term land leasing rights and obligations under Hong Kong law, establishing terms for land use, development, and maintenance.
Download
Medical Authorization Letter
A Hong Kong-compliant legal document authorizing healthcare providers to perform medical procedures or make medical decisions on behalf of a patient, subject to local healthcare regulations.
Download
骋别苍颈别鈥檚 Security Promise
Genie is the safest place to draft. Here鈥檚 how we prioritise your privacy and security.
Your documents are private:
We do not train on your data; 骋别苍颈别鈥檚 AI improves independently
All data stored on Genie is private to your organisation
Your documents are protected:
Your documents are protected by ultra-secure 256-bit encryption
We are ISO27001 certified, so your data is secure
Organizational security:
You retain IP ownership of your documents and their information
You have full control over your data and who gets to see it
.png)