Authorization To Release Information Template for Switzerland

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Key Requirements PROMPT example:

Authorization To Release Information

I need an Authorization to Release Information document for sharing my complete medical history from Hospital Zürich with my new specialist clinic in Geneva, valid from January 15, 2025, to December 31, 2025, with specific provisions for maintaining medical confidentiality under Swiss healthcare regulations.

Document background
The Authorization To Release Information document is a crucial legal instrument used in Switzerland when one party needs to formally authorize the disclosure of specific information to another party. This document type is essential in various contexts, from healthcare and financial services to employment and education, where sensitive personal or business information needs to be shared while complying with Swiss data protection laws, particularly the Federal Data Protection Act (FDPA). It's commonly used when medical records need to be shared between healthcare providers, when financial information needs to be disclosed to third parties, or when personal data needs to be transferred between organizations. The document must be drafted with careful consideration of Swiss privacy laws, which are known for their stringent protection of personal and business information. It should clearly specify the scope of information to be released, the duration of the authorization, and include provisions for revocation, making it a vital tool for compliant information sharing in Switzerland.
Suggested Sections

1. Authorizing Party Details: Full identification of the person/entity giving authorization, including name, address, and any relevant identification numbers

2. Recipient(s) of Information: Clear identification of the person(s) or organization(s) authorized to receive the information

3. Scope of Authorization: Detailed description of what information is authorized to be released, including specific categories or types of information

4. Purpose of Disclosure: Clear statement of the purpose(s) for which the information may be used

5. Duration of Authorization: Specific timeframe for which the authorization is valid, including start and end dates

6. Revocation Rights: Statement of the right to revoke the authorization and the process for doing so

7. Data Protection Statement: Reference to applicable Swiss data protection laws and confirmation of compliance

8. Signature Block: Space for date, signature, and witness signature if required

Optional Sections

1. Medical Information Specifics: Additional section when authorization involves medical records, including specific healthcare providers and types of medical information

2. Financial Information Details: Additional section when authorization involves financial records, including specific financial institutions and types of financial information

3. Third Party Access: Section specifying whether and how authorized recipients may share information with third parties

4. International Transfer Provisions: Required when information may be transferred outside Switzerland, addressing cross-border data transfer requirements

5. Language Declaration: Required for multilingual documents, specifying which language version prevails

Suggested Schedules

1. Schedule A - Detailed Information List: Comprehensive list of specific information items or documents authorized for release

2. Schedule B - Authorized Recipients List: Detailed list of all authorized recipients and their contact information when multiple recipients are involved

3. Appendix 1 - Revocation Form: Standard form for revoking the authorization if needed

4. Appendix 2 - Privacy Notice: Detailed privacy notice explaining how the information will be handled and protected

Authors

Alex Denne

Head of Growth (Open Source Law) @ Genie AI | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

Relevant Industries

Healthcare

Banking & Financial Services

Insurance

Education

Real Estate

Human Resources

Legal Services

Government & Public Sector

Professional Services

Technology & Communications

Relevant Teams

Legal

Compliance

Human Resources

Information Security

Data Protection

Risk Management

Records Management

Corporate Governance

Operations

Administrative Services

Relevant Roles

Data Protection Officer

Compliance Manager

Legal Counsel

HR Director

Privacy Officer

Medical Records Administrator

Information Security Manager

Risk Manager

Compliance Officer

Records Manager

Healthcare Administrator

Financial Controller

Corporate Secretary

Operations Manager

Industries
Teams

Employer, Employee, Start Date, Job Title, Department, Location, Probationary Period, Notice Period, Salary, Overtime, Vacation Pay, Statutory Holidays, Benefits, Bonus, Expenses, Working Hours, Rest Breaks,  Leaves of Absence, Confidentiality, Intellectual Property, Non-Solicitation, Non-Competition, Code of Conduct, Termination,  Severance Pay, Governing Law, Entire Agreemen

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