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Doctor Permission Letter
1. Date and Location: Current date and place of issuance of the letter
2. Patient Information: Full name, CPR number (Danish personal ID), address, and contact details of the patient giving permission
3. Doctor Information: Full name, medical license number, clinic/hospital affiliation, and contact information of the doctor receiving permission
4. Purpose Statement: Clear statement of the specific medical permissions being granted
5. Scope of Permission: Detailed description of what actions/access are authorized, including any specific procedures or treatments
6. Duration of Permission: Specific timeframe for which the permission is valid
7. Patient Declaration: Statement confirming the patient's understanding and voluntary consent
8. Signatures: Space for patient signature, date, and witness signature if required
1. Emergency Contact Information: Include when permissions may need to be verified by family members or designated emergency contacts
2. Language Declaration: Include when the patient's primary language is not Danish, confirming content has been explained in their preferred language
3. Special Conditions: Include when there are specific limitations or conditions attached to the permission
4. Revocation Process: Include when there's a need to specify how the permission can be withdrawn
5. Digital Consent Verification: Include when the permission letter will be used in digital healthcare systems
1. Identification Documents: Copies of patient ID, healthcare card, or other relevant identification
2. Medical History Summary: Relevant medical history documents that provide context for the permission
3. Previous Permissions: Copies of any related or previous permission letters that may be relevant
4. Translation Certificate: Official translation certificate if the letter is needed in multiple languages
5. Power of Attorney: If permission is given by a legal representative, documentation of their authority
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