Medical Authorization Form Template for Denmark

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Medical Authorization Form

I need a Medical Authorization Form under Danish law for my private dermatology clinic in Copenhagen, covering both routine procedures and clinical trials, with extra provisions for handling sensitive skin condition data and photographs from January 2025.

What is a Medical Authorization Form?

The Medical Authorization Form is a critical document in the Danish healthcare system, designed to facilitate informed consent and clear communication between patients and healthcare providers. It is primarily used when specific medical procedures, treatments, or access to medical records requires formal patient authorization. The document ensures compliance with the Danish Health Act (Sundhedsloven), the Danish Data Protection Act, and EU GDPR requirements. Healthcare providers must obtain this authorization before performing certain medical procedures or accessing patient records, making it an essential tool for maintaining legal compliance and protecting patient rights. The form is particularly important in situations involving planned medical procedures, ongoing treatment authorizations, or when delegating medical decision-making authority to designated representatives.

What sections should be included in a Medical Authorization Form?

1. Patient Information: Full legal name, CPR number (Danish personal ID), address, and contact details of the patient

2. Healthcare Provider Information: Details of the healthcare provider(s) or facility authorized to provide treatment

3. Scope of Authorization: Specific medical treatments, procedures, or decisions being authorized

4. Duration of Authorization: Time period for which the authorization is valid, including start and end dates if applicable

5. Rights and Responsibilities: Overview of the rights and responsibilities of all parties involved

6. Data Protection Statement: GDPR-compliant statement about how medical data will be processed and protected

7. Revocation Rights: Information about the right to withdraw authorization and the process for doing so

8. Signatures: Dedicated section for signatures of the patient, witnesses, and/or healthcare providers

What sections are optional to include in a Medical Authorization Form?

1. Emergency Contact Authorization: Used when designating emergency contacts who can receive medical information

2. Minor Patient Provisions: Include when the patient is under 18, specifying parent/guardian authorization details

3. Interpreter Declaration: Required when the form needs to be interpreted for non-Danish speaking patients

4. Mental Capacity Statement: Include when there are questions about the patient's capacity to provide informed consent

5. Special Treatment Conditions: For specific medical conditions requiring additional authorizations or considerations

6. Research Participation: When the authorization includes permission for use of medical data in research

What schedules should be included in a Medical Authorization Form?

1. List of Authorized Procedures: Detailed list of specific medical procedures covered by the authorization

2. Contact List: Complete list of authorized healthcare providers and their contact information

3. Privacy Notice: Detailed GDPR-compliant privacy notice explaining data processing practices

4. Patient Rights Document: Comprehensive explanation of patient rights under Danish healthcare law

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

alex.den.21@genieai.co

Relevant legal definitions

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Medical Records

Patient Administration

Quality Assurance

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Medical Doctor

Nurse Practitioner

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Clinic Manager

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Medical Secretary

Healthcare Consultant

Social Worker

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Let's create your Medical Authorization Form

What is a Medical Authorization Form?

What sections should be included in a Medical Authorization Form?

What sections are optional to include in a Medical Authorization Form?

What schedules should be included in a Medical Authorization Form?

Authors

Alex Denne

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