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1. Healthcare Provider Information: Details of the medical facility/doctor issuing the letter, including name, address, and registration number
2. Patient Identification: Full name, IC number, date of birth, and contact information of the patient
3. Date of Letter: Current date when the letter is issued
4. Purpose Statement: Clear statement of the purpose for releasing medical information
5. Scope of Release: Specific medical information being authorized for release, including relevant dates of treatment
6. Recipient Information: Details of the person or organization authorized to receive the medical information
7. Duration of Authorization: Time period for which the release authorization is valid
8. Patient Authorization: Patient's consent statement and signature
1. Third Party Authorization: Used when someone other than the patient is authorized to request/receive records
2. Mental Health Records Declaration: Special authorization section required when mental health records are involved
3. Restricted Information Specifications: Used when certain sensitive information (HIV, genetic testing, etc.) requires specific authorization
4. Translation Declaration: Required when the letter is translated from/to languages other than English or Bahasa Malaysia
5. Emergency Contact Information: Included when ongoing medical communication might be necessary
1. List of Specific Medical Records: Detailed inventory of medical records being authorized for release
2. Witness Declaration Form: Required when the release needs to be witnessed, particularly for sensitive information
3. Identity Verification Documents: Copies of identification documents for patient/authorized representative
Healthcare
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Sports and Athletics
Aviation
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Government Services
Military and Defense
Medical Records
Legal
Compliance
Human Resources
Insurance Processing
Healthcare Administration
Privacy and Data Protection
Occupational Health
Corporate Medical
Patient Services
Medical Records Officer
Healthcare Administrator
Compliance Officer
Human Resources Manager
Insurance Claims Processor
Legal Counsel
Medical Secretary
Privacy Officer
Healthcare Facility Manager
Occupational Health Officer
School Nurse
Corporate Medical Officer
Immigration Medical Assessor
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