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Release of Information Form
I need a release of information form that authorizes the disclosure of my medical records to a specified healthcare provider for the purpose of ongoing treatment, with a validity period of one year and the option to revoke consent at any time.
What is a Release of Information Form?
A Release of Information Form lets you give formal permission for someone to share your private information with others in the UAE. Medical facilities, schools, and businesses use these forms to protect sensitive data while following local privacy laws and Federal Decree-Law No. 45 of 2021 on Personal Data Protection.
The form specifies exactly what information can be shared, who can access it, and how long the permission stays valid. For example, you might sign one at a Dubai hospital to let your medical records go to a specialist, or at your bank to authorize sharing financial details with a mortgage provider. You can cancel this permission anytime by notifying the organization in writing.
When should you use a Release of Information Form?
Use a Release of Information Form anytime you need to share confidential data with third parties in the UAE. Common situations include transferring medical records between healthcare providers, sharing academic transcripts with universities, or releasing employment history to potential employers. The form becomes essential when handling sensitive personal data under Federal Decree-Law No. 45.
Financial institutions, healthcare facilities, and government agencies often require these forms before processing important requests. For example, a bank might need one to share your credit information during a mortgage application, or a hospital may require it to forward your medical files to an insurance company. Having the form ready speeds up these processes while protecting everyone's legal rights.
What are the different types of Release of Information Form?
- Medical Release Form: Standard form for sharing health records between UAE healthcare providers, covering treatment history and diagnostic reports
- Medical Consent Form For Minor: Specialized version for parents/guardians to authorize medical information sharing for children under 18
- Medical Authorization Form: Comprehensive form allowing specific healthcare decisions and information sharing with designated representatives
- Video Consent Form: Specific release for audio-visual content use in marketing, education, or documentation purposes
Who should typically use a Release of Information Form?
- Healthcare Providers: Hospitals, clinics, and medical practices in the UAE must obtain signed Release of Information Forms before sharing patient records with other facilities or specialists
- Individual Patients: UAE residents who need to authorize the sharing of their personal medical, financial, or educational records with specific parties
- Legal Representatives: Lawyers and compliance officers who draft and review these forms to ensure alignment with UAE privacy laws and data protection regulations
- Educational Institutions: Schools and universities that require these forms to share student records, transcripts, or recommendations
- Insurance Companies: Providers who need access to medical or personal information to process claims and coverage decisions
How do you write a Release of Information Form?
- Basic Information: Gather full names, contact details, and identification numbers of all parties involved in the information sharing
- Scope Definition: List exactly what information can be shared, including dates, record types, and any specific limitations
- Time Period: Specify how long the release authorization remains valid under UAE law, with clear start and end dates
- Legal Requirements: Ensure compliance with Federal Decree-Law No. 45 on Personal Data Protection and include Arabic translation if needed
- Authorization Details: Include clear statements about who can access the information and under what circumstances
- Verification Process: Prepare for proper witness signatures and any required notarization under UAE regulations
What should be included in a Release of Information Form?
- Clear Identification: Full legal names and details of all parties, including the information holder and recipient
- Consent Statement: Explicit authorization in both English and Arabic, following UAE Federal Law No. 45 requirements
- Information Scope: Detailed description of exactly what information can be shared, including any restrictions
- Time Parameters: Clear validity period with specific start and end dates
- Data Protection: Statement on how shared information will be protected and used under UAE privacy laws
- Revocation Rights: Clear explanation of how and when the authorization can be cancelled
- Signature Block: Space for signatures, dates, and witness details as required by UAE law
What's the difference between a Release of Information Form and a Release Agreement?
A Release of Information Form differs significantly from a Release Agreement in several key ways. While both documents involve giving permission, their scope and application in UAE law serve distinct purposes.
- Purpose and Scope: A Release of Information Form specifically authorizes sharing confidential data, while a Release Agreement broadly waives rights or settles claims
- Duration: Information releases typically have a defined time period for data sharing, while release agreements usually create permanent settlements
- Legal Framework: Information releases must comply with UAE Federal Decree-Law No. 45 on data protection, whereas release agreements fall under broader contract law
- Revocation Rights: Information releases can often be cancelled with written notice, while release agreements generally cannot be reversed once executed