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Medical Release Of Information Form for Hong Kong

Medical Release Of Information Form Template for Hong Kong

A comprehensive legal document used in Hong Kong's healthcare system that authorizes the release of an individual's medical information to specified parties. This form complies with Hong Kong's Personal Data (Privacy) Ordinance and relevant healthcare regulations, ensuring proper handling of sensitive medical information. It includes detailed specifications about what information can be released, to whom, for what purpose, and for how long the authorization remains valid. The document incorporates necessary privacy protections and patient rights in accordance with Hong Kong law while facilitating the efficient transfer of medical information between authorized parties.

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What is a Medical Release Of Information Form?

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.

What sections should be included in a Medical Release Of Information Form?

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

What sections are optional to include in a Medical Release Of Information Form?

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

What schedules should be included in a Medical Release Of Information Form?

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

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

Jurisdiction

Hong Kong

Publisher

Ƶ

Document Type

Declaration Form

Cost

Free to use
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

Industries







Teams

Employer, Employee, Start Date, Job Title, Department, Location, Probationary Period, Notice Period, Salary, Overtime, Vacation Pay, Statutory Holidays, Benefits, Bonus, Expenses, Working Hours, Rest Breaks,  Leaves of Absence, Confidentiality, Intellectual Property, Non-Solicitation, Non-Competition, Code of Conduct, Termination,  Severance Pay, Governing Law, Entire Agreemen

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