An Authorization Letter For Medical Records is a crucial document in the Malaysian healthcare system that enables the authorized release and transfer of medical records between parties. This document is required whenever a patient's medical records need to be shared with third parties, whether for continuing medical care, insurance purposes, legal proceedings, or other legitimate needs. The letter must comply with Malaysian legislation, particularly the Personal Data Protection Act 2010 and Medical Act 1971, which govern the handling of sensitive medical information. It includes essential elements such as patient identification, scope of authorization, recipient details, and purpose of disclosure. The document serves as both a legal safeguard and a practical tool for healthcare providers to ensure proper handling of confidential medical information.
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1. Date and Location: Current date and place where the letter is being executed
2. Healthcare Provider Details: Full name and address of the healthcare facility or provider currently holding the medical records
3. Patient Information: Complete identification details of the patient including full name, IC number, date of birth, and contact information
4. Authorized Recipient: Full details of the person or entity authorized to receive the medical records
5. Scope of Authorization: Specific description of which medical records are to be released, including relevant dates of treatment
6. Purpose of Disclosure: Clear statement of why the medical records are being requested
7. Duration of Authorization: Validity period of the authorization
8. Authorization Statement: Formal statement of authorization with reference to relevant privacy laws
9. Signature Block: Space for patient's signature, date, and witness signatures
1. Specific Restrictions: Used when certain parts of the medical records are to be excluded from the authorization
2. Special Instructions: Include when specific handling or delivery instructions are needed for the medical records
3. Revocation Rights: Statement about the right to revoke the authorization, included when required by specific healthcare facility policies
4. Third Party Authorization: Added when someone other than the patient is providing authorization (e.g., legal guardian, power of attorney)
5. Confidentiality Notice: Additional privacy warnings and handling instructions for sensitive medical information
6. Translation Declaration: Include when the letter is provided in multiple languages or when translation services were used
1. List of Specific Records: Detailed itemization of specific medical records being requested when the list is extensive
2. Proof of Identity: Copies of identification documents of the patient and/or authorized recipient
3. Supporting Documentation: Any relevant legal documents such as power of attorney or court orders when applicable
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