Consent to Release Medical Records
This Consent to Release Medical Records can be used by individuals to allow organisations to access their records, or by organisations seeking such consent.
4.3 (4 reviews)
Last updated January 14, 2025
Under 10 minutes
Suitable for Australia
Written by
Edwin Montoya Zorrilla
Reviewed by
Damin Murdock
Document Overview
Medical organisations are required to keep patient information confidential, unless patient consent is given for that information to be released. Such consents may specify that the information should be given to a particular third party that requires access to that information, such as an employer or an insurer. This document may be used to provide consent. It must include details regarding the kind of information that is consented to be released, as well as the party to whom it will be released.
IMPORTANT: Although this document contains most of the standard elements included in consent forms by organisations across Australia, formal requirements for effective consent may vary from state to state according to state health records and privacy legislation, as well as institutional guidance. If you have any doubt , seek legal advice in the state where you intend to use this document.
The Legal Risk Score of a Consent to Release Medical Records Template
Our legal team have marked this document as medium risk considering:
- The release of medical records can expose sensitive personal health information, which could be misused if not properly safeguarded.
- Once consent is given, the scope of information released is broad, including medical history, diagnoses, and treatment details, which might be more information than the patient anticipates sharing.
- The document allows for withdrawal of consent at any time, but it does not specify the process or immediate effect of withdrawal, potentially leading to a lag during which information could still be shared.
Consent to Release Medical Records Checklist
Complete your free Consent to Release Medical Records with our checklist
Verify Information Accuracy
Ensure that all personal details, including the date of birth and patient name, are accurately filled in the document to avoid any discrepancies in medical records released.
Sign and Date the Document
Complete the document by signing and dating it to validate the consent officially.
Keep a Copy
Maintain a copy of the signed consent form for your records to track which information has been authorized for release and to whom.
View Sample Consent to Release Medical Records
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