Create a bespoke document in minutes, Â or upload and review your own.
Get your first 2 documents free
Your data doesn't train Genie's AI
You keep IP ownership of your information
Consent Letter For Medical Report
"I need a Consent Letter For Medical Report to authorize my GP to share my full medical history with my new insurance provider (ABC Insurance Ltd) for a life insurance application, with the consent valid until March 15, 2025."
1. Patient Information: Full name, date of birth, address, NHS number of the patient giving consent
2. Healthcare Provider Details: Name and address of doctor/facility holding the medical records
3. Purpose of Disclosure: Specific reason for requesting medical report and intended use
4. Scope of Consent: Details of specific information authorized for release and any limitations
5. Duration of Consent: Time period for which the consent remains valid
6. Data Protection Statement: GDPR compliance information and how data will be handled
1. Third Party Authorization: Additional authorization details when report is to be sent to third parties such as insurance companies or employers
2. Capacity Declaration: Statement regarding patient's mental capacity to provide consent, used when capacity might be questioned
3. Cost Agreement: Agreement to pay any associated fees for report preparation when applicable
1. Identity Verification Documents: Appendix containing copies of photo ID or other verification documents
2. Third Party Authorization Forms: Additional forms and documentation required for third party requests
3. Schedule of Applicable Legislation: List of relevant legislation and guidelines governing the consent (GDPR, Access to Medical Reports Act, etc.)
Authors
Find the exact document you need
Download our whitepaper on the future of AI in Legal
³Ò±ð²Ô¾±±ð’s Security Promise
Genie is the safest place to draft. Here’s how we prioritise your privacy and security.
Your documents are private:
We do not train on your data; ³Ò±ð²Ô¾±±ð’s AI improves independently
All data stored on Genie is private to your organisation
Your documents are protected:
Your documents are protected by ultra-secure 256-bit encryption
Our bank-grade security infrastructure undergoes regular external audits
We are ISO27001 certified, so your data is secure
Organizational security
You retain IP ownership of your documents
You have full control over your data and who gets to see it
Innovation in privacy:
Genie partnered with the Computational Privacy Department at Imperial College London
Together, we ran a £1 million research project on privacy and anonymity in legal contracts
Want to know more?
Visit our for more details and real-time security updates.
Read our Privacy Policy.