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1. Date and Place: Current date and location where the authorization letter is being executed
2. Principal Information: Full legal name, address, date of birth, and health insurance details of the sick person granting authorization
3. Agent Information: Full legal name, address, and relationship to the principal of the person being authorized to act
4. Scope of Authority: Detailed description of the powers being granted, including medical decisions, access to medical records, and communication with healthcare providers
5. Duration: Specification of how long the authorization remains valid (temporary or permanent)
6. Declaration of Sound Mind: Statement confirming the principal is of sound mind while granting this authorization
7. Signatures: Space for signatures of the principal, agent, and witnesses if required
1. Emergency Contact Information: Additional contacts to be notified in case of emergencies - recommended when the authorized person isn't easily reachable
2. Specific Medical Conditions: Details of existing medical conditions - useful when the authorization is related to ongoing treatment
3. Language Preference: Specification of language preferences for medical communication - important in cases where the principal or agent isn't fluent in German
4. Revocation Clause: Specific terms under which the authorization can be revoked - recommended for longer-term authorizations
5. Digital Communication Consent: Authorization for digital communication and telemedicine decisions - relevant for modern healthcare settings
1. Medical History Summary: Brief summary of relevant medical history, current medications, and allergies
2. Healthcare Provider List: List of current healthcare providers and medical facilities involved in the principal's care
3. Insurance Information: Detailed health insurance information and policy numbers
4. Identification Documents: Copies of identification documents of both principal and agent
Authorized Representative
Healthcare Provider
Medical Records
Medical Treatment
Healthcare Facility
Emergency Care
Medical Information
Treatment Decisions
Health Insurance Provider
Medical Power of Attorney
Capacity to Consent
Healthcare Services
Personal Data
Confidential Information
Duration of Authority
Revocation
Medical Procedures
Prescription Medications
Insurance Claims
Medical Emergency
Digital Health Records
Telemedicine Services
Healthcare Communications
Scope of Powers
Medical Decision Making
Data Protection
Confidentiality
Duration and Termination
Emergency Powers
Healthcare Provider Access
Insurance Authorization
Record Access
Communication Authority
Revocation Rights
Representative Obligations
Privacy Compliance
Liability Limitations
Witness Requirements
Digital Communications
Geographic Scope
Successor Authorization
Legal Compliance
Healthcare
Medical Services
Legal Services
Insurance
Elder Care
Social Services
Healthcare Administration
Pharmaceutical Services
Mental Health Services
Rehabilitation Services
Legal
Healthcare Administration
Patient Services
Compliance
Medical Records
Insurance Processing
Social Services
Quality Assurance
Patient Relations
Risk Management
Healthcare Administrator
Legal Counsel
Medical Doctor
Nurse Practitioner
Social Worker
Patient Care Coordinator
Healthcare Compliance Officer
Medical Records Manager
Insurance Claims Specialist
Elder Care Specialist
Hospital Administrator
Clinical Director
Patient Rights Advocate
Healthcare Legal Advisor
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