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1. Identification of Parties: Details of the medical practitioner/facility being released and the patient granting the release
2. Background: Brief context of the medical care or treatment provided and the relationship between the parties
3. Definitions: Clear definitions of key terms used in the document, including 'Treatment', 'Medical Records', and 'Claims'
4. Scope of Release: Detailed description of what claims, rights, or actions are being released
5. Patient Acknowledgments: Patient's confirmation of understanding the treatment received, risks explained, and voluntary nature of the release
6. Data Protection Declaration: Statements regarding the handling and protection of patient data in accordance with Swiss FADP
7. Governing Law: Specification of Swiss law as governing law and relevant canton jurisdiction
8. Execution: Date and signature blocks for all parties
1. Language Declaration: Required when the patient's primary language is not the language of the document, confirming translation or understanding
2. Future Medical Care: Optional section addressing future treatment rights when ongoing care is expected
3. Insurance and Payment: Include when the release relates to insurance claims or payment disputes
4. Specific Procedure Release: Used when the release pertains to a specific medical procedure rather than general treatment
5. Third Party Rights: Include when other healthcare providers or facilities need to be covered by the release
1. Treatment Summary: Detailed description of medical treatment or procedures provided
2. Medical Records Reference: List of relevant medical records covered by the release
3. Informed Consent Documentation: Copies of previously signed informed consent forms
4. Risk Disclosure: Detailed documentation of risks discussed and acknowledged
5. Translation Certificate: If applicable, certification of translation accuracy
Healthcare
Medical Services
Hospitals
Private Medical Practice
Specialized Medical Clinics
Rehabilitation Centers
Emergency Medical Services
Mental Health Services
Dental Services
Alternative Medicine
Medical Insurance
Legal
Compliance
Risk Management
Medical Administration
Patient Relations
Medical Records
Clinical Operations
Quality Assurance
Insurance Coordination
Healthcare Operations
Medical Doctor
Physician
Surgeon
Specialist Physician
General Practitioner
Healthcare Administrator
Medical Practice Manager
Risk Management Officer
Legal Counsel
Compliance Officer
Medical Records Manager
Patient Relations Manager
Clinical Director
Hospital Administrator
Insurance Coordinator
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