Medical Authority Form - England and Wales

Medical Authority Form for the United Kingdom

Medical Authority Form Template for England and Wales

A Medical Authority Form is a legal document used in England and Wales that enables individuals to authorize healthcare providers, institutions, or designated representatives to access, use, or disclose their medical information. The document complies with UK data protection legislation, including GDPR requirements, and includes specific provisions for consent, scope of authority, and duration of access. It serves as a formal record of the patient's explicit consent for sharing medical information.

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What is a Medical Authority Form?

The Medical Authority Form is essential in healthcare settings across England and Wales where controlled access to patient medical information is required. This document is commonly used when patients need to grant permission for their medical records to be shared with third parties, such as insurance companies, legal representatives, or family members. It ensures compliance with UK data protection laws, including the Data Protection Act 2018 and UK GDPR, while maintaining patient confidentiality and privacy rights. The form typically includes detailed patient information, specific authorizations, time limitations, and clear consent statements.

What sections should be included in a Medical Authority Form?

1. Patient Information: Full name, date of birth, address, NHS number, contact details

2. Authority Grant: Explicit statement of authorization for medical information access/sharing

3. Scope of Authority: Specific medical records/information covered by the authorization

4. Duration: Time period for which the authority is valid

5. Data Protection Notice: Information about how data will be used and protected

6. Signature Section: Patient signature, date, witness requirements

What sections are optional to include in a Medical Authority Form?

1. Third Party Authorization: Details of authorized representatives, used when others need access to medical information

2. Specific Exclusions: Information explicitly excluded from the authority, used when patient wants to restrict access to certain information

3. Emergency Contact: Alternative contact details for emergency situations

What schedules should be included in a Medical Authority Form?

1. Schedule of Authorized Recipients: List of specific individuals/organizations authorized to receive information

2. Schedule of Specific Records: Detailed list of specific medical records covered by the authority

3. Privacy Notice: Detailed information about data protection and privacy practices

Authors

Alex Denne

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

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Free to use

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Medical Records
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Medical Records Manager
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Assent Form

A legal template under English and Welsh law used to obtain formal agreement from individuals who may not have full legal capacity to provide consent.

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What is a Medical Authority Form?

What sections should be included in a Medical Authority Form?

What sections are optional to include in a Medical Authority Form?

What schedules should be included in a Medical Authority Form?

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