The Authorization For Release Of Medical Information is a critical document used in Hong Kong's healthcare system when medical information needs to be shared between different parties. This document becomes necessary when patients need their medical records transferred between healthcare providers, shared with insurance companies, or disclosed to other authorized parties. It ensures compliance with Hong Kong's Personal Data (Privacy) Ordinance and healthcare regulations while protecting patient privacy rights. The authorization typically specifies the scope of information to be released, the duration of the authorization, and the intended recipient. It includes necessary safeguards to protect sensitive medical information and requires proper identification and verification of all parties involved. This document is particularly important in Hong Kong's increasingly interconnected healthcare system, where electronic health records are becoming more prevalent.
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1. Patient Information: Complete identification details of the patient including full name, HKID/passport number, date of birth, and contact information
2. Healthcare Provider Information: Details of the healthcare provider/facility currently holding the medical records
3. Recipient Information: Identity and contact details of the person/organization authorized to receive the medical information
4. Scope of Authorization: Specific description of medical information to be released, including time period covered and types of records
5. Purpose of Disclosure: Clear statement of the purpose for which the medical information is being released
6. Duration of Authorization: Validity period of the authorization, including start and end dates
7. Patient Rights Declaration: Statement of patient's rights regarding the authorization, including right to revoke
8. Signature and Date: Space for patient's signature, date, and witness signature if required
1. Mental Capacity Declaration: Required when the patient may have mental capacity issues, including certification by relevant medical professional
2. Legal Representative Authorization: Used when authorization is given by a legal representative rather than the patient directly
3. Translator Declaration: Required when the form is explained to the patient through a translator
4. Emergency Contact Information: Optional section for providing emergency contact details
5. Medical History Summary: Optional brief summary of relevant medical history to provide context for the information request
1. Schedule A - Specific Records Requested: Detailed list of specific medical records, test results, or reports being requested
2. Schedule B - Authorized Healthcare Providers: List of all healthcare providers/facilities authorized to release information
3. Schedule C - Fee Schedule: Schedule of applicable fees for record retrieval and copying, if any
4. Appendix 1 - Instructions for Use: Detailed instructions for healthcare providers on how to process the authorization
5. Appendix 2 - Privacy Notice: Detailed privacy notice explaining how the released information will be handled and protected
Relevant legal definitions
Authorized Recipient
Confidential Information
Disclosure
Electronic Health Record
Healthcare Provider
Medical Information
Medical Records
Patient
Personal Data
Protected Health Information
Release Authorization
Requesting Party
Sensitive Personal Data
Treatment
Valid Period
Healthcare Facility
Legal Representative
Mental Capacity
Revocation
Third Party
Data User
Data Subject
Consent
Medical Practitioner
Witness
Confidential Information
Disclosure
Electronic Health Record
Healthcare Provider
Medical Information
Medical Records
Patient
Personal Data
Protected Health Information
Release Authorization
Requesting Party
Sensitive Personal Data
Treatment
Valid Period
Healthcare Facility
Legal Representative
Mental Capacity
Revocation
Third Party
Data User
Data Subject
Consent
Medical Practitioner
Witness
Clauses
Relevant Industries
Healthcare
Insurance
Legal Services
Human Resources
Employment
Education
Social Services
Medical Research
Pharmaceutical
Government Services
Relevant Teams
Medical Records
Compliance
Legal
Human Resources
Patient Services
Insurance Processing
Data Protection
Clinical Administration
Research Administration
Information Management
Relevant Roles
Medical Records Officer
Privacy Officer
Compliance Manager
Healthcare Administrator
Medical Secretary
Insurance Claims Processor
HR Manager
Legal Counsel
Medical Practice Manager
Clinical Director
Hospital Administrator
Data Protection Officer
Patient Services Coordinator
Research Administrator
Medical Records Technician
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