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Authorisation For Disclosure Of Information Form Template for England and Wales

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Key Requirements PROMPT example:

Authorisation For Disclosure Of Information Form

"I need an Authorisation For Disclosure Of Information Form to allow my new employer to access my medical records from my previous GP practice for the next 12 months, starting from January 2025, specifically relating to my occupational health assessments."

Document background
The Authorisation For Disclosure Of Information Form is essential when individuals need to give formal permission for their personal information to be shared between organisations or individuals. This document, governed by English and Welsh law, is commonly used in situations requiring access to confidential records, such as medical files, financial records, or employment history. It ensures compliance with UK GDPR and other relevant data protection legislation, while providing clear documentation of consent. The form typically specifies the scope of information to be disclosed, the duration of the authorisation, and includes necessary safeguards to protect the data subject's rights.
Suggested Sections

1. Data Subject Details: Full name, contact details, and identification information of the person whose information will be disclosed

2. Authorisation Statement: Clear statement of consent for disclosure

3. Scope of Disclosure: Specific information to be disclosed and its purpose

4. Recipient Details: Identity and contact details of the person/organization receiving the information

5. Duration: Time period for which the authorisation is valid

6. Signature Block: Space for data subject's signature and date

Optional Sections

1. Third Party Authorization: Additional section required when someone other than the data subject is authorizing disclosure (e.g., for minors or individuals lacking capacity)

2. Special Category Data: Additional consent section specifically for sensitive personal data such as health, biometric, or other sensitive information

3. Revocation Clause: Section detailing the process for withdrawing consent, particularly relevant for ongoing or multiple disclosures

Suggested Schedules

1. Identity Verification Documents: Schedule listing acceptable ID documents and containing copies of provided identification

2. Proof of Authority: Schedule containing power of attorney or other authority documentation when relevant

3. Data Categories Checklist: Detailed checklist of specific information types authorized for disclosure

Authors

Alex Denne

Head of Growth (Open Source Law) @ ¶¶Òõ¶ÌÊÓÆµ | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

Relevant legal definitions

























Clauses






















Industries

UK General Data Protection Regulation (UK GDPR): Primary data protection legislation covering principles of data processing, lawful basis for processing, individual rights, and data protection requirements

Data Protection Act 2018: UK implementation of GDPR including specific provisions for data processing and special category data handling

Freedom of Information Act 2000: Legislation governing public authority information disclosure, including exemptions and limitations

Common Law Duty of Confidentiality: Legal principle covering professional obligations, doctor-patient confidentiality, and lawyer-client privilege

Access to Health Records Act 1990: Legislation specifically governing access to medical information and rights of access to deceased persons' records

Mental Capacity Act 2005: Law concerning decision-making for those who lack capacity and powers of attorney considerations in information disclosure

Human Rights Act 1998: Legislation incorporating Article 8 (right to privacy) and considerations of proportionality in disclosure

Equality Act 2010: Law ensuring non-discrimination in information handling and requirement for reasonable adjustments where needed

Teams

Employer, Employee, Start Date, Job Title, Department, Location, Probationary Period, Notice Period, Salary, Overtime, Vacation Pay, Statutory Holidays, Benefits, Bonus, Expenses, Working Hours, Rest Breaks,  Leaves of Absence, Confidentiality, Intellectual Property, Non-Solicitation, Non-Competition, Code of Conduct, Termination,  Severance Pay, Governing Law, Entire Agreemen

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