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1. Patient Information: Full legal name, date of birth, address, and contact information of the patient giving consent
2. Healthcare Provider Information: Name and details of the healthcare provider(s) or facility authorized to share the information
3. Authorized Family Member(s): Full names, relationships, and contact information of family members authorized to receive medical information
4. Scope of Authorization: Specific details about what medical information can be shared (e.g., all medical records, specific condition information, or time-limited information)
5. Duration of Authorization: Time period for which the authorization is valid, including start date and expiration date if applicable
6. Patient Rights Statement: Clear statement of the patient's rights under Swiss law, including the right to revoke consent
7. Authentication Method: How the family member's identity will be verified when requesting information
8. Signature Block: Space for patient signature, date, and witness signature if required
1. Emergency Contact Designation: Used when the authorized family member is also being designated as an emergency contact
2. Digital Communication Consent: Include when electronic methods (email, patient portals) will be used to share information
3. Language Preference: Needed in cases where the family member requires information in a specific language
4. Capacity Declaration: Required when the patient has limited capacity and a legal representative is involved
5. Cross-Border Information Sharing: Necessary when the authorized family member resides outside Switzerland
1. Types of Medical Information Checklist: Detailed checklist of specific types of medical information that can be shared (e.g., test results, prescriptions, treatment plans)
2. Identity Verification Procedures: Detailed procedures for how authorized family members can verify their identity when requesting information
3. Patient Rights Information Sheet: Comprehensive explanation of patient rights under Swiss law regarding medical information sharing
Protected Health Information
Healthcare Provider
Authorized Family Member
Treatment
Medical Records
Consent Period
Revocation
Confidential Information
Electronic Health Record
Patient Rights
Authorization
Personal Data
Sensitive Personal Data
Data Processing
Professional Secrecy
Medical Facility
Emergency Situation
Legal Representative
Health-Related Data
Healthcare
Medical Services
Hospitals
Clinics
Mental Health Services
Elder Care
Long-term Care
Rehabilitation Services
Primary Care
Specialized Medical Services
Legal
Compliance
Medical Records
Patient Administration
Clinical Operations
Privacy and Data Protection
Patient Relations
Quality Assurance
Medical Administration
Information Governance
Medical Director
Physician
Nurse Practitioner
Registered Nurse
Healthcare Administrator
Medical Records Manager
Privacy Officer
Compliance Officer
Patient Relations Manager
Medical Secretary
Healthcare Facility Manager
Legal Counsel
Data Protection Officer
Clinical Director
Practice Manager
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Genie’s Security Promise
Genie is the safest place to draft. Here’s how we prioritise your privacy and security.
Your documents are private:
We do not train on your data; Genie’s 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


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