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The Medical Records Release Form is a critical document used in Austrian healthcare settings when patient medical information needs to be shared between authorized parties. This form is essential for maintaining patient privacy rights while facilitating necessary information sharing in compliance with Austrian healthcare laws and EU GDPR requirements. It becomes necessary when medical records need to be transferred between healthcare providers, shared with insurance companies, or released to other authorized parties such as legal representatives or specialists. The document must adhere to strict Austrian data protection standards and includes specific provisions for consent, data handling, and patient rights. It serves as both a legal authorization and an audit trail for the release of sensitive medical information, protecting all parties involved in the transfer process.

1. Patient Information: Full identification details of the patient including name, date of birth, address, and insurance number

2. Healthcare Provider Information: Details of the healthcare provider/facility currently holding the medical records

3. Recipient Information: Identity and contact details of the person or entity authorized to receive the medical records

4. Scope of Authorization: Specific description of which medical records are to be released, including date ranges and types of information

5. Purpose of Disclosure: Statement of the intended use or reason for the release of medical records

6. Duration of Authorization: Validity period of the authorization, including expiration date if applicable

7. Data Protection Notice: GDPR-compliant privacy notice explaining how the data will be processed and protected

8. Rights and Revocation: Statement of the patient's rights including the right to revoke authorization and process for revocation

9. Signatures and Date: Space for required signatures, dates, and any witness requirements