The Medical Records Release Form is a critical document used in Hong Kong's healthcare system when there is a need to share patient medical information with authorized parties. This form is essential for compliance with Hong Kong's Personal Data (Privacy) Ordinance (Cap. 486) and various healthcare regulations, including the Hospital Authority Ordinance. The document is required whenever medical records need to be transferred between healthcare providers, shared with insurance companies, or released to the patient themselves. It includes crucial details such as patient identification, specific records to be released, purpose of disclosure, and duration of authorization. The form ensures that sensitive medical information is handled appropriately and that patient privacy rights are protected while facilitating necessary information sharing in accordance with Hong Kong law.
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1. Patient Information: Full identification details of the patient including name, ID number, date of birth, and contact information
2. Healthcare Provider Information: Details of the healthcare provider/facility releasing the records
3. Recipient Information: Information about the person or entity authorized to receive the medical records
4. Records to be Released: Specific description of medical records to be released, including date ranges and types of information
5. Purpose of Disclosure: Statement of the intended use of the released information
6. Duration of Authorization: Validity period of the authorization
7. Rights and Disclaimers: Statement of patient's rights including right to revoke authorization and any limitations
8. Signatures: Spaces for patient/guardian signature, date, and witness if required
1. Mental Health Records Authorization: Additional authorization specifically for mental health records, required when mental health records are included
2. Guardian/Representative Authorization: Additional section when the authorization is being given by someone other than the patient
3. Sensitive Information Release: Specific authorization for sensitive information like HIV status, genetic testing, or substance abuse treatment
4. Electronic Records Consent: Additional consent for release of records through electronic means
5. Translation Declaration: Required when the form is provided in multiple languages or when translation services were used
6. Fee Schedule: Optional section detailing any applicable fees for record copying and release
1. Schedule A - Types of Medical Records: Detailed checklist of specific types of medical records that can be released
2. Schedule B - Authorized Recipients: List of all authorized recipients if multiple parties are to receive the records
3. Schedule C - Identity Verification Requirements: Documentation requirements for verifying the identity of the recipient
4. Appendix 1 - Patient Rights Notice: Detailed explanation of patient rights regarding medical records under Hong Kong law
5. Appendix 2 - Privacy Policy: Summary of relevant privacy policies and data protection measures
Relevant legal definitions
Authorized Representative
Confidential Information
Consent
Disclosure
Electronic Health Record
Healthcare Provider
Medical Information
Medical Records
Patient
Personal Data
Protected Health Information
Release Authorization
Recipient
Revocation
Sensitive Personal Data
Third Party
Treatment
Valid Period
Healthcare Facility
Legal Guardian
Mental Health Records
Data Subject
Health Care Operations
Information System
Confidential Information
Consent
Disclosure
Electronic Health Record
Healthcare Provider
Medical Information
Medical Records
Patient
Personal Data
Protected Health Information
Release Authorization
Recipient
Revocation
Sensitive Personal Data
Third Party
Treatment
Valid Period
Healthcare Facility
Legal Guardian
Mental Health Records
Data Subject
Health Care Operations
Information System
Clauses
Authorization
Consent
Data Protection
Privacy
Information Disclosure
Duration and Expiry
Revocation Rights
Record Types
Confidentiality
Patient Rights
Data Access
Information Security
Third Party Disclosure
Electronic Records
Liability
Compliance
Fee Provisions
Identity Verification
Witness Requirements
Translation Declarations
Consent
Data Protection
Privacy
Information Disclosure
Duration and Expiry
Revocation Rights
Record Types
Confidentiality
Patient Rights
Data Access
Information Security
Third Party Disclosure
Electronic Records
Liability
Compliance
Fee Provisions
Identity Verification
Witness Requirements
Translation Declarations
Relevant Industries
Healthcare
Medical Services
Hospital Administration
Insurance
Legal Services
Healthcare Technology
Mental Health Services
Public Health
Medical Research
Pharmaceutical
Relevant Teams
Medical Records
Compliance
Legal
Patient Services
Healthcare Administration
Data Protection
Clinical Operations
Quality Assurance
Risk Management
Information Management
Relevant Roles
Medical Records Officer
Healthcare Administrator
Compliance Officer
Privacy Officer
Medical Director
Hospital Administrator
Legal Counsel
Data Protection Officer
Patient Services Manager
Medical Secretary
Clinical Director
Insurance Claims Processor
Healthcare Operations Manager
Medical Research Coordinator
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