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The Authorization For Release Of Medical Information is a critical document in South African healthcare administration and legal compliance. It becomes necessary whenever there's a need to transfer medical records or health information from one party to another, such as between healthcare providers, from provider to insurer, or for legal proceedings. The document must comply with the Protection of Personal Information Act (POPIA), the National Health Act, and other relevant South African legislation. It typically includes specific details about the patient, the information to be released, the recipient, the purpose of disclosure, and the duration of authorization. This form serves as a safeguard for patient privacy while facilitating necessary information sharing in the healthcare system. It's particularly important in cases involving insurance claims, changing healthcare providers, specialist referrals, or when medical records are needed for legal or employment purposes.

1. Patient Information: Full identification details of the patient including full name, ID number, date of birth, and contact information

2. Healthcare Provider Information: Details of the healthcare provider/facility currently holding the medical information

3. Recipient Information: Details of the person or entity authorized to receive the medical information

4. Scope of Authorization: Specific description of what medical information is authorized for release, including date ranges if applicable

5. Purpose of Disclosure: Clear statement of why the medical information is being released

6. Duration of Authorization: Specification of how long the authorization remains valid

7. Rights and Revocation: Statement of the patient's rights including the right to revoke authorization and any limitations

8. Consent Declaration: Formal declaration of consent including POPIA compliance statement

9. Signatures: Space for patient (or authorized representative) signature, date, and witness signatures if required