Release Of Records Form Template for Denmark

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Release Of Records Form

I need a Release of Records Form that allows my hospital to transfer my complete medical history to a specialist clinic in Copenhagen, including all test results and imaging from January 2025 onwards, with provisions for digital transfer and third-party specialist consultation.

What is a Release Of Records Form?

The Release of Records Form is a crucial document used in Denmark for managing the authorized disclosure of personal records, particularly in healthcare and professional settings. This document is essential when there is a need to transfer records from one party to another, whether for medical treatment, legal proceedings, insurance purposes, or other legitimate needs. The form must comply with Danish data protection laws, including the Danish Data Protection Act and the EU GDPR, as well as sector-specific regulations such as the Danish Health Act. It typically includes detailed information about the records being released, the purpose of the release, the parties involved, and specific handling requirements. The Release of Records Form serves as both a legal authorization and a documented trail of consent, protecting the rights of data subjects while facilitating necessary information sharing.

What sections should be included in a Release Of Records Form?

1. Parties: Identification of the record holder (institution/healthcare provider), the person whose records are being released (data subject), and the recipient of the records

2. Background: Brief context explaining the purpose of the release and the relationship between the parties

3. Definitions: Key terms used in the document, including types of records, personal data, and other relevant terminology

4. Records to be Released: Specific description of the records being authorized for release, including time periods covered

5. Purpose of Release: Clear statement of the intended use of the released records

6. Duration of Authorization: Time period for which the release authorization is valid

7. Rights and Responsibilities: Overview of the rights retained by the data subject and responsibilities of the recipient

8. Revocation Rights: Information about the right to revoke the authorization and the process for doing so

9. Signatures and Declarations: Formal signatures, dates, and declarations of understanding by all parties

What sections are optional to include in a Release Of Records Form?

1. Special Categories of Data: Additional provisions for sensitive data categories (e.g., mental health records, genetic information) - include when releasing sensitive personal data under GDPR Article 9

2. Third Party Disclosure: Provisions for allowing or restricting further disclosure to third parties - include when records may need to be shared beyond the immediate recipient

3. Digital Transfer Provisions: Specific provisions for digital transfer of records - include when records will be transferred electronically

4. Translation Declaration: Statement about translation accuracy - include when the form is being used in multiple languages

5. Emergency Contact Authorization: Authorization for emergency contacts to access records - include when emergency access might be needed

What schedules should be included in a Release Of Records Form?

1. Schedule A - Detailed Record List: Itemized list of specific records to be released, including dates and record types

2. Schedule B - Authorized Recipients: List of specific individuals or entities authorized to receive the records, including contact details

3. Schedule C - Processing Requirements: Specific requirements for handling and processing the released records in compliance with GDPR and Danish law

4. Appendix 1 - Consent Forms: Additional consent forms required for specific types of records or uses

5. Appendix 2 - Privacy Notice: Detailed privacy notice explaining how the released 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

alex.den.21@genieai.co

Relevant legal definitions

Clauses

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Healthcare

Medical Services

Insurance

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Education

Social Services

Employment Services

Public Administration

Research Institutions

Pharmaceutical

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Legal

Compliance

Medical Records

Data Protection

Privacy

Healthcare Administration

Information Governance

Patient Services

Clinical Operations

Quality Assurance

Risk Management

Relevant Roles

Medical Records Administrator

Healthcare Provider

Legal Compliance Officer

Data Protection Officer

Privacy Manager

Healthcare Administrator

Clinical Director

Legal Counsel

Insurance Claims Manager

Human Resources Manager

Research Coordinator

Medical Secretary

Practice Manager

Information Governance Officer

Records Management Specialist

Find the exact document you need

Authorisation Form

A Danish law-compliant document that formally grants specific powers from a grantor to an authorized representative, establishing the scope and conditions of the authorization.

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What is a Release Of Records Form?

What sections should be included in a Release Of Records Form?

What sections are optional to include in a Release Of Records Form?

What schedules should be included in a Release Of Records Form?

Authors

Alex Denne

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