The Medical Release of Information Form serves as a crucial document in Hong Kong's healthcare ecosystem, enabling the controlled and compliant sharing of medical information between authorized parties. This document becomes necessary when medical information needs to be shared beyond the primary healthcare provider, such as with insurance companies, other medical facilities, or employers. It is designed to comply with Hong Kong's Personal Data (Privacy) Ordinance and healthcare regulations, providing a structured process for requesting and releasing medical information while protecting patient privacy rights. The form includes comprehensive details about the scope of information to be released, temporal validity, and specific usage permissions, ensuring that sensitive medical data is handled appropriately and securely. This document is particularly important in situations requiring proof of medical condition, insurance claims, continued care at different facilities, or employment-related medical verifications.
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 Ƶ's market-leading legal AI identify missing terms, unusual language, compliance issues and more - in just seconds.
1. Patient Information: Detailed identification of the patient including full name, HKID/passport number, date of birth, and contact information
2. Healthcare Provider Information: Details of the healthcare provider/facility currently holding the medical records
3. Recipient Information: Information about the person or entity authorized to receive the medical information
4. Information to be Released: Specific description of medical information authorized for release, including date ranges and types of records
5. Purpose of Disclosure: Clear statement of the reason(s) for releasing the medical information
6. Duration of Authorization: Specification of how long the authorization remains valid
7. Rights and Notices: Statement of patient's rights regarding the release of information, including right to revoke authorization
8. Acknowledgment and Authorization: Formal authorization statement and signature section
1. Specific Exclusions: Section to explicitly list any medical information that should NOT be released - used when patient wants to restrict certain sensitive information
2. Third Party Authorization: Additional section when someone other than the patient is authorized to sign the release - used for minors or individuals with appointed representatives
3. Electronic Distribution Authorization: Specific authorization for electronic transmission of records - used when digital transfer is anticipated
4. Urgent Request Designation: Section indicating urgent processing requirements - used for time-sensitive medical situations
5. Re-disclosure Notice: Additional provisions regarding subsequent sharing of released information - used for sensitive cases or when information may be shared with multiple parties
1. Schedule A - Types of Medical Records: Detailed checklist of specific types of medical records that may be released (e.g., laboratory results, imaging reports, consultation notes)
2. Schedule B - Fee Schedule: List of applicable fees for different types of record requests and processing times
3. Appendix 1 - Identity Verification Requirements: List of acceptable identification documents and verification procedures
4. Appendix 2 - Privacy Policy Summary: Summary of relevant privacy policies and data protection measures in accordance with Hong Kong law
Authors
Relevant legal definitions
Clauses
Relevant Industries
Healthcare
Insurance
Legal Services
Human Resources
Occupational Health
Education
Sports and Athletics
Employment Services
Immigration Services
Social Services
Relevant Teams
Medical Records
Legal & Compliance
Privacy & Data Protection
Patient Services
Administrative Services
Health Information Management
Customer Relations
Risk Management
Clinical Administration
Operations
Relevant Roles
Medical Records Officer
Privacy Officer
Healthcare Administrator
Legal Compliance Manager
Human Resources Manager
Insurance Claims Processor
Medical Secretary
Healthcare Facility Manager
Data Protection Officer
Clinical Administrative Coordinator
Patient Services Representative
Medical Office Manager
Compliance Coordinator
Health Information Manager
Find the exact document you need
Staff Contract Of Employment
Hong Kong employment contract template compliant with local employment laws, establishing terms and conditions of employment.
find out more
Salary Counter Offer Letter
A formal letter under Hong Kong law proposing alternative terms to an initial employment offer, typically focusing on salary and benefits adjustments.
find out more
Safety Assessment Form
A Hong Kong-compliant workplace safety assessment document for systematic hazard identification and risk control under Cap. 509 regulations.
find out more
Objectives For Performance Review
A Hong Kong-compliant document establishing employee performance objectives, evaluation criteria, and assessment timelines.
find out more
Missed SLA
A Hong Kong law-governed document addressing service level agreement breaches, detailing the breach specifics and remediation plans.
find out more
Guardian Consent Letter For Travel
A Hong Kong-compliant legal document providing guardian authorization for a minor's travel, including essential details and consent declarations.
find out more
Trustee Contract
A Hong Kong law-governed agreement establishing trustee duties and responsibilities in managing trust assets and relationships between trust parties.
find out more
Employee Review Form
A Hong Kong-compliant employee performance evaluation document for structured assessment of work performance and professional development planning.
find out more
Self Declaration Form For Job Application
A Hong Kong-compliant self-declaration form for job applications, capturing candidate information and declarations in accordance with local employment laws.
find out more
Declaration Letter For Student
A Hong Kong-governed formal document where students make official declarations regarding their status, circumstances, or intentions within an educational context.
find out more
Declaration Letter For Missing Documents
A formal legal declaration used in Hong Kong to officially document and explain circumstances surrounding lost or missing important documents, governed by Hong Kong's Oaths and Declarations Ordinance.
find out more
Declaration Letter For Employee
A Hong Kong-compliant formal declaration document where employees state their employment circumstances and compliance with company policies under Hong Kong law.
find out more
Guarantor Agreement For Residential Lettings
A Hong Kong law-governed agreement where a guarantor assumes responsibility for a tenant's obligations under a residential tenancy agreement.
find out more
Rent Contract Cancellation Letter
A Hong Kong law-compliant formal notice to terminate a lease agreement between tenant and landlord, including termination details and handover arrangements.
find out more
Landlord Consent To Sublease Letter
A Hong Kong law-governed letter documenting a landlord's formal consent for a tenant to sublease property to a third party, including terms and conditions of the permission.
find out more
Dependant Pass Letter Of Consent
An official Hong Kong Immigration Department document granting employment authorization to dependant visa holders in Hong Kong.
find out more
Declaration For Job Application
A Hong Kong-compliant legal declaration where job applicants formally attest to the truthfulness of their application information and qualifications.
find out more
Student Complaint Letter
A formal document used in Hong Kong's educational system to raise and document student grievances or concerns, following local Education Bureau guidelines and regulations.
find out more
Quality SLA
A Hong Kong law-governed agreement defining measurable service quality standards, performance metrics, and remedies for non-compliance in service delivery.
find out more
Arrival Health Declaration
A mandatory health declaration form required under Hong Kong law for all travelers entering Hong Kong, collecting essential health and travel information for public health monitoring.
find out more
Age Declaration Form
A Hong Kong-compliant legal form for formal declaration of an individual's age, including verification requirements and supporting documentation.
find out more
Affidavit Declaration
A formal sworn statement of facts made under Hong Kong law, authenticated by an authorized person and used as legal evidence.
find out more
Sworn Declaration
A formal legal document made under oath in Hong Kong where an individual declares statements to be true, executed before authorized persons under Hong Kong law.
find out more
Self Employed Contractor Invoice
A Hong Kong-compliant invoice template for self-employed contractors, including service details, payment terms, and tax requirements.
find out more
Cargo Declaration
A mandatory customs document required by Hong Kong authorities for declaring goods being imported, exported, or transited through Hong Kong territory.
find out more
Sworn Affidavit For Passport
A legally binding sworn statement used in Hong Kong for passport-related applications and declarations, executed before authorized officials under Hong Kong law.
find out more
Forklift Risk Assessment
A mandatory safety assessment document under Hong Kong law that evaluates and addresses risks associated with forklift operations in the workplace.
find out more
Self Declaration Form COVID 19
A Hong Kong-compliant form for declaring COVID-19 health status and exposure history, used for public health management and organizational entry requirements.
find out more
Salary Declaration Form
A Hong Kong-compliant form for declaring employee salary and compensation details for tax and statutory purposes.
find out more
Property Damage Waiver Form
A Hong Kong law-governed document that establishes an agreement between parties to waive claims related to property damage under specified circumstances.
find out more
Maintenance Support Agreement
A Hong Kong law-governed agreement establishing terms for maintenance and support services, including service levels, obligations, and pricing.
find out more
House Contract Termination Letter
A formal notice under Hong Kong law for terminating a residential tenancy agreement, specifying termination terms and handover arrangements.
find out more
Driver Contractor Agreement
A Hong Kong law-governed agreement establishing the terms and conditions between a company and an independent driver contractor for providing driving services.
find out more
Declaration Letter For Visa Application
A formal declaration document submitted to Hong Kong Immigration authorities containing legally binding statements supporting a visa application.
find out more
Declaration Deed
A formal legal document under Hong Kong law used to make binding written statements of fact or intention, executed as a deed with proper witnessing requirements.
find out more
Visa Consent Letter For Minors
A Hong Kong-compliant formal letter providing parental authorization for a minor's international travel, including essential details and consent requirements under local law.
find out more
Vendor Contract Termination Letter
A formal notice under Hong Kong law to terminate an existing vendor contract, including termination details and next steps.
find out more
Self Declaration Form For Birth Certificate
A legal declaration form under Hong Kong law for affirming or correcting birth certificate details, governed by the Births and Deaths Registration Ordinance.
find out more
Residency Declaration Form
A formal declaration document used in Hong Kong to officially state and verify an individual's residency status under Hong Kong law.
find out more
Placement Contract Agreement
A Hong Kong-governed agreement between a recruitment agency and client company establishing terms for professional placement services.
find out more
ұԾ’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; ұԾ’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)