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.