The Medical Records Affidavit serves as a crucial document in Singapore's healthcare and legal framework, used when formal verification of medical records is required. This document is particularly important in legal proceedings, insurance claims, or when transferring medical information between healthcare providers. The affidavit must comply with Singapore's stringent healthcare data protection laws and is typically executed before a Commissioner for Oaths. The document includes detailed information about the records being verified, their source, and the basis for the declarant's knowledge of their accuracy.
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1. Declarant Information: Personal details of the person making the affidavit including name, NRIC/passport number, occupation and address
2. Patient Information: Details of the patient whose medical records are being addressed, including full name, identification number, and date of birth
3. Purpose Statement: Clear statement of the specific reason for the affidavit's creation and intended use
4. Records Description: Detailed description of the medical records being referenced, including dates, types of records, and healthcare institutions
5. Verification Statement: Formal declaration of truth and accuracy of the statements made in the affidavit under penalty of perjury
1. Consent Declaration: Section declaring that proper patient consent has been obtained for the disclosure of medical records
2. Capacity Statement: Declaration of legal authority to make the affidavit when the declarant is not the patient
3. Electronic Records Statement: Specific declarations regarding the authenticity and handling of electronic medical records
1. Medical Records Index: Comprehensive list of all medical records referenced in the affidavit, including dates and document types
2. Authorization Documents: Copies of relevant authorizations, powers of attorney, or court orders granting authority
3. Consent Forms: Attached copies of patient consent forms and related documentation
4. Records Certification: Official certification from healthcare providers confirming the authenticity of the medical records
Relevant legal definitions
Affiant
Medical Records
Patient
Healthcare Provider
Healthcare Institution
Personal Data
Protected Health Information
Medical Documentation
Electronic Health Records
Physical Records
Commissioner for Oaths
Custodian of Records
Healthcare Services
Treatment Records
Confidential Information
Medical Institution
Record Management System
Authorization
Consent
Data Protection Officer
Verification
Certification
Statutory Declaration
Medical Reports
Clinical Notes
Laboratory Results
Diagnostic Reports
Treatment Summary
Discharge Summary
Medical History
Medical Records
Patient
Healthcare Provider
Healthcare Institution
Personal Data
Protected Health Information
Medical Documentation
Electronic Health Records
Physical Records
Commissioner for Oaths
Custodian of Records
Healthcare Services
Treatment Records
Confidential Information
Medical Institution
Record Management System
Authorization
Consent
Data Protection Officer
Verification
Certification
Statutory Declaration
Medical Reports
Clinical Notes
Laboratory Results
Diagnostic Reports
Treatment Summary
Discharge Summary
Medical History
Clauses
Declaration and Identification
Authority and Capacity
Verification of Records
Authenticity
Confidentiality
Data Protection
Record Custody
Document Authentication
Record Completeness
Professional Certification
Patient Privacy
Record Maintenance
Information Accuracy
Legal Compliance
Record Access
Disclosure Authorization
Record Storage
Electronic Records Verification
Document Integrity
Custodial Responsibility
Record Retention
Information Security
Regulatory Compliance
Sworn Statement
Attestation
Authority and Capacity
Verification of Records
Authenticity
Confidentiality
Data Protection
Record Custody
Document Authentication
Record Completeness
Professional Certification
Patient Privacy
Record Maintenance
Information Accuracy
Legal Compliance
Record Access
Disclosure Authorization
Record Storage
Electronic Records Verification
Document Integrity
Custodial Responsibility
Record Retention
Information Security
Regulatory Compliance
Sworn Statement
Attestation
Relevant Industries
Relevant Teams
Relevant Roles
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