Release Of Information Form

Release Of Information Form Template for Switzerland

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Key Requirements PROMPT example:

"I need a Release of Information Form for my medical clinic in Zurich that allows for the sharing of patient records with specialist consultants, including provisions for both electronic and physical records, with the authorization period starting from March 2025."

Document background

The Release of Information Form is essential in Switzerland's privacy-focused legal environment, where strict data protection regulations govern the sharing of personal information. This document is required whenever personal data needs to be transferred from one party to another, ensuring compliance with the Federal Act on Data Protection (FADP/DSG) and cantonal laws. It serves as a formal authorization mechanism, documenting informed consent and establishing clear parameters for information sharing. The form is particularly crucial in sectors handling sensitive personal data, such as healthcare, financial services, and education, where data protection requirements are especially rigorous. It must specify the scope of information to be shared, the purpose of disclosure, duration of authorization, and the rights of the data subject, including the right to revoke consent.

Suggested Sections

1. Information About the Data Subject: Detailed identification of the individual whose information will be released, including full name, date of birth, and contact details

2. Information About the Releasing Party: Details of the organization/entity that currently holds and will release the information

3. Information About the Recipient: Identity and contact details of the person/organization who will receive the information

4. Scope of Information: Specific description of what information is authorized for release, including type, date range, and format

5. Purpose of Release: Clear statement of why the information is being released and how it will be used

6. Duration of Authorization: Timeframe for which the authorization is valid

7. Rights and Revocation: Statement of the data subject's rights, including the right to revoke authorization

8. Data Protection Statement: Description of how the information will be protected and handled in compliance with Swiss data protection laws

9. Signatures: Space for dated signatures of all relevant parties

Optional Sections

1. Special Categories of Data: Additional section required when sensitive personal data (health, religious beliefs, etc.) is involved

2. Third Party Disclosure: Section needed if the information may be shared with additional parties beyond the primary recipient

3. International Transfer: Required when information may be transferred outside Switzerland

4. Electronic Processing: Section describing electronic processing methods when digital handling is involved

5. Payment Terms: Include when fees are associated with the information release

6. Emergency Contact: Optional section for medical or sensitive information releases

7. Language Declaration: Required when the form is provided in multiple languages

Suggested Schedules

1. Detailed Information List: Itemized list of specific documents/information to be released

2. Data Processing Terms: Detailed terms regarding how the information will be processed, stored, and protected

3. Authorized Representatives: List of people authorized to access or handle the released information

4. Privacy Notice: Detailed privacy notice explaining data subject rights under Swiss law

5. Consent Withdrawal Form: Template form for withdrawing consent in the future

Authors

Alex Denne

Head of Growth (Open Source Law) @ ��Ƶ | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

alex.den.21@genieai.co

Relevant legal definitions

Clauses

Relevant Industries

Healthcare

Financial Services

Education

Insurance

Legal Services

Human Resources

Social Services

Government Administration

Research Institutions

Professional Services

Telecommunications

Banking

Relevant Teams

Legal

Compliance

Data Protection

Human Resources

Information Security

Risk Management

Medical Records

Patient Services

Information Governance

Privacy Office

Records Management

Administrative Services

Relevant Roles

Data Protection Officer

Privacy Manager

Compliance Officer

Legal Counsel

Medical Records Administrator

HR Manager

Information Security Officer

Risk Manager

Healthcare Administrator

Records Manager

Privacy Analyst

Compliance Specialist

Information Governance Manager

Data Protection Specialist

Patient Services Coordinator

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