The Medical Records Request Form serves as a crucial document in Hong Kong's healthcare system, facilitating the formal process of accessing and transferring medical records while maintaining compliance with local privacy laws and healthcare regulations. This standardized form is essential when patients, healthcare providers, or authorized third parties need to request copies of medical records for purposes such as continuing care, insurance claims, legal proceedings, or personal record-keeping. The form ensures that all requests are properly documented, authorized, and processed in accordance with the Personal Data (Privacy) Ordinance and Hospital Authority guidelines. It includes comprehensive sections for patient identification, specific record requests, authorization details, and delivery preferences, thereby streamlining the medical records request process while maintaining necessary security and privacy protocols.
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1. Patient Information: Essential identifying information including full name, HKID/passport number, date of birth, contact details, and address
2. Records Requested: Specific details of the medical records being requested, including date ranges, types of records, and healthcare facilities involved
3. Purpose of Request: Statement of the reason for requesting the medical records (e.g., continuing care, insurance claims, legal proceedings)
4. Delivery Method: Preferred method of receiving the records (e.g., mail, electronic format, in-person collection)
5. Patient Authorization: Declaration and signature section confirming the patient's consent to release the specified medical records
6. Processing Fee Acknowledgment: Statement of applicable fees for processing the request and payment method options
1. Third Party Authorization: Section to be included when someone other than the patient is requesting records, including legal representative details and proof of authority
2. Urgent Request: Additional section for expedited processing requests, including justification for urgency
3. Special Instructions: Section for any specific handling instructions or requirements
4. Translation Requirements: Section to specify if records need to be translated from Chinese to English or vice versa
5. Record Format Preferences: Detailed preferences for how records should be formatted or organized when delivered
1. Schedule A - Types of Medical Records: Detailed checklist of different types of medical records that can be requested (e.g., consultation notes, lab results, imaging reports, prescription records)
2. Schedule B - Fee Schedule: Breakdown of processing fees for different types of records and delivery methods
3. Schedule C - Identity Verification Requirements: List of acceptable identification documents and verification procedures
4. Appendix 1 - Supporting Documents Checklist: List of required supporting documents for different types of requests (e.g., proof of relationship for next of kin, legal authorization documents)
Relevant legal definitions
Clauses
Relevant Industries
Healthcare
Medical Services
Insurance
Legal Services
Healthcare Administration
Medical Research
Public Health
Healthcare Technology
Pharmaceutical
Relevant Teams
Medical Records
Compliance
Legal
Patient Services
Health Information Management
Privacy and Data Protection
Clinical Administration
Quality Assurance
Document Control
Healthcare Operations
Relevant Roles
Medical Records Officer
Healthcare Administrator
Compliance Officer
Medical Secretary
Hospital Administrator
Privacy Officer
Healthcare Legal Counsel
Medical Director
Clinical Documentation Specialist
Health Information Manager
Patient Services Coordinator
Medical Records Technician
Data Protection Officer
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