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Medical Authorization Form
1. Patient Information: Full legal name, CPR number (Danish personal ID), address, and contact details of the patient
2. Healthcare Provider Information: Details of the healthcare provider(s) or facility authorized to provide treatment
3. Scope of Authorization: Specific medical treatments, procedures, or decisions being authorized
4. Duration of Authorization: Time period for which the authorization is valid, including start and end dates if applicable
5. Rights and Responsibilities: Overview of the rights and responsibilities of all parties involved
6. Data Protection Statement: GDPR-compliant statement about how medical data will be processed and protected
7. Revocation Rights: Information about the right to withdraw authorization and the process for doing so
8. Signatures: Dedicated section for signatures of the patient, witnesses, and/or healthcare providers
1. Emergency Contact Authorization: Used when designating emergency contacts who can receive medical information
2. Minor Patient Provisions: Include when the patient is under 18, specifying parent/guardian authorization details
3. Interpreter Declaration: Required when the form needs to be interpreted for non-Danish speaking patients
4. Mental Capacity Statement: Include when there are questions about the patient's capacity to provide informed consent
5. Special Treatment Conditions: For specific medical conditions requiring additional authorizations or considerations
6. Research Participation: When the authorization includes permission for use of medical data in research
1. List of Authorized Procedures: Detailed list of specific medical procedures covered by the authorization
2. Contact List: Complete list of authorized healthcare providers and their contact information
3. Privacy Notice: Detailed GDPR-compliant privacy notice explaining data processing practices
4. Patient Rights Document: Comprehensive explanation of patient rights under Danish healthcare law
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