The Medical Records Release Form is essential in Singapore's healthcare ecosystem where strict data protection laws govern the handling of medical information. This document is used when patients or their authorized representatives need to grant permission for the transfer of medical records between healthcare providers, insurance companies, or other authorized parties. It includes specific details about the records to be released, the purpose of disclosure, and the duration of authorization, ensuring compliance with the Personal Data Protection Act 2012, Healthcare Services Act 2020, and relevant medical practice guidelines.
Your data doesn't train Genie's AI
You keep IP ownership of your information
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
OR
Let Genie AI's market-leading legal AI identify missing terms, unusual language, compliance issues and more - in just seconds.
Upload your Doc
1. Patient Information: Patient's full name, NRIC/FIN, date of birth, contact details
2. Healthcare Provider Details: Name and details of the healthcare institution releasing records
3. Scope of Release: Specific medical records to be released, date range
4. Purpose of Disclosure: Stated reason for requesting medical records
5. Authorization Statement: Express consent for release of specified records
6. Duration of Authorization: Validity period of the authorization
7. Signature Section: Patient/authorized representative signature and date
1. Third Party Recipient: Details of authorized recipient if not the patient, use when records are to be sent to another provider
2. Witness Section: Witness details and signature, use for vulnerable patients or complex cases
3. Prohibition of Re-disclosure: Statement restricting further sharing, use for sensitive information
1. List of Specific Records: Detailed inventory of requested records
2. Proof of Identity: Copies of identification documents
3. Legal Authorization Documents: Power of attorney or court orders if applicable
Relevant legal definitions
Medical Records
Protected Health Information
Healthcare Provider
Authorization Period
Personal Data
Patient
Authorized Representative
Disclosure
Treatment Records
Electronic Health Records
Confidential Information
Test Results
Clinical Notes
Laboratory Reports
Diagnostic Reports
Medical History
Recipient
Third Party
Healthcare Institution
Consent
Release Authorization
Data Protection Officer
Revocation
Expiry Date
Sensitive Personal Data
Medical Treatment
Protected Health Information
Healthcare Provider
Authorization Period
Personal Data
Patient
Authorized Representative
Disclosure
Treatment Records
Electronic Health Records
Confidential Information
Test Results
Clinical Notes
Laboratory Reports
Diagnostic Reports
Medical History
Recipient
Third Party
Healthcare Institution
Consent
Release Authorization
Data Protection Officer
Revocation
Expiry Date
Sensitive Personal Data
Medical Treatment
Clauses
Identification and Contact Information
Authorization
Scope of Information
Duration and Expiry
Consent
Confidentiality
Data Protection
Release Instructions
Revocation Rights
Third Party Access
Liability
Records Delivery Method
Payment Terms
Verification
Emergency Provisions
Purpose of Disclosure
Re-disclosure Restrictions
Information Accuracy
Record Retention
Governing Law
Authorization
Scope of Information
Duration and Expiry
Consent
Confidentiality
Data Protection
Release Instructions
Revocation Rights
Third Party Access
Liability
Records Delivery Method
Payment Terms
Verification
Emergency Provisions
Purpose of Disclosure
Re-disclosure Restrictions
Information Accuracy
Record Retention
Governing Law
Relevant Industries
Relevant Teams
Relevant Roles
Find the exact document you need
To Whom It May Concern Authorization Letter
A Singapore-compliant authorization letter granting specific powers to act on behalf of the authorizing party.
find out more
Salary Deduction Form
A Singapore-compliant form authorizing specific deductions from an employee's salary with their explicit consent.
find out more
Parental Consent Letter For Visa Application
A Singapore-compliant formal letter granting parental consent for a minor's visa application and international travel.
find out more
Medical Consent Form For Minors
A Singapore-compliant legal document allowing parents/guardians to authorize medical treatment for minors.
find out more
Consent To Disclosure Of Information
A Singapore-compliant document authorizing the disclosure of personal or confidential information to specified parties.
find out more
Consent Authorization
A Singapore-compliant authorization document that establishes explicit consent for specific actions or data processing under PDPA guidelines.
find out more
Authorization Letter To Get Diploma
A formal document used in Singapore that authorizes a designated person to collect a diploma on behalf of a graduate.
find out more
Authorization Letter To Claim Parcel
A Singapore-compliant formal document authorizing a designated person to collect a parcel on behalf of the rightful recipient.
find out more
Authorization Letter To Claim ATM Card
A Singapore-compliant formal authorization document allowing a designated person to collect an ATM card on behalf of the account holder.
find out more
Authorization Letter To Claim Allowance
A Singapore-compliant authorization letter enabling a designated person to claim an allowance on behalf of an entitled individual.
find out more
Authorization Letter For Visa Collection
A Singapore-compliant formal letter authorizing a designated person to collect a visa from immigration authorities on behalf of the applicant.
find out more
Authorization Letter For Legal Purposes
A Singapore-compliant legal document granting specific authority to act on behalf of another party in legal matters.
find out more
Authorization Letter For Deed Of Sale
A Singapore-compliant legal document authorizing a representative to sell property on behalf of the owner.
find out more
Authorization Letter For Cheque
A Singapore-compliant formal document authorizing a designated person to handle a cheque on behalf of the cheque owner.
find out more
Authorization Letter Credit Card
A formal document under Singapore law that permits a designated person to use another's credit card within specified parameters.
find out more
ACH Payment Form
A Singapore-compliant authorization form for automatic electronic fund transfers between bank accounts, regulated under the Payment Services Act 2019.
find out more
Consent To Disclose Personal Information
A Singapore PDPA-compliant consent form for authorizing the disclosure of personal information to specified parties.
find out more
Board Resolution For Authorisation To Represent The Company
A Singapore-compliant board resolution that formally authorizes designated individuals to represent and act on behalf of the company.
find out more
Authorisation Letter For Vehicle
A Singapore-compliant formal document granting specific permissions to an individual to operate or manage a vehicle on behalf of the owner.
find out more
Authorisation Letter For Bank
A Singapore-compliant formal document that authorizes a designated person to conduct specific banking activities on behalf of an account holder.
find out more
Passport Delivery Authorization Letter
A Singapore-compliant authorization letter allowing a designated person to collect a passport on behalf of the passport holder.
find out more
Authorization Letter With Attached ID
A Singapore-compliant formal document granting specific powers from one party to another, accompanied by verified identification documents.
find out more
Authorization Letter To Process Business Permit
A Singapore-compliant formal authorization document for delegating business permit processing authority to a designated representative.
find out more
Authorization Letter For Visa Application
A Singapore-compliant legal document authorizing a representative to handle visa application processes on behalf of the authorizer.
find out more
Authorization Letter To Sign Agreement On Behalf Of Company
A Singapore law-governed document authorizing an individual to sign agreements on behalf of a company.
find out more
Authorization Letter To Deposit Check
A Singapore-compliant legal document authorizing a designated person to deposit a check into a specified bank account.
find out more
Direct Debit Authorisation Form
A Singapore-compliant authorization form allowing regular automatic payments to be collected directly from a bank account.
find out more
Letter To Bank For Change In Authorised Signatory
A formal letter to change bank account signatories under Singapore banking regulations.
find out more
Authorization For Disclosure Of Information Form
A Singapore-compliant form authorizing the disclosure of personal information to specified parties under PDPA guidelines.
find out more
Client Authorisation Form
A Singapore-compliant legal document authorizing a party to act on behalf of a client with defined scope and limitations.
find out more
Collection Authorisation Form
A Singapore-compliant legal document authorizing the collection of items or documents by a designated party on behalf of the authorizer.
find out more
Authorization Letter For Salary
A Singapore-compliant formal document authorizing a designated party to collect or manage an individual's salary payments.
find out more
Authorized Representative Verification Letter
A Singapore-compliant verification letter confirming an individual's authority to represent an organization.
find out more
Automatic Deposit Form
A Singapore-compliant form authorizing recurring automatic bank transfers between accounts.
find out more
Authorization For Release Of Information Form
A Singapore-compliant authorization form for the release of personal information, governed by PDPA and local privacy laws.
find out more
Third Party Authorization Letter
A formal document under Singapore law that authorizes a third party to act on behalf of the authorizing individual or entity.
find out more
Bank Consent Letter
A Singapore-compliant authorization document allowing specific banking actions or information access, governed by local banking regulations.
find out more
Authorization Letter For Proof Of Address
A Singapore-compliant authorization letter that permits specified parties to verify the authorizer's residential address.
find out more
Authorization Letter For Payment
A Singapore-compliant formal document that authorizes specific payment transactions or arrangements between designated parties.
find out more
Authorization Letter For Check Encashment
A Singapore-compliant formal document authorizing a designated person to encash a check on behalf of the check owner.
find out more
Genie’s Security Promise
Genie is the safest place to draft. Here’s how we prioritise your privacy and security.
Your documents are private:
We do not train on your data; Genie’s AI improves independently
All data stored on Genie is private to your organisation
Your documents are protected:
Your documents are protected by ultra-secure 256-bit encryption
We are ISO27001 certified, so your data is secure
Organizational security:
You retain IP ownership of your documents and their information
You have full control over your data and who gets to see it
.png)
.png)