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Permission To Release Information Form Template for England and Wales

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Key Requirements PROMPT example:

Permission To Release Information Form

"I need a Permission To Release Information Form that allows my medical records to be shared between my current GP and a specialist clinic for a period of 6 months starting March 2025, with specific provisions for sharing diagnostic imaging results."

Document background
The Permission To Release Information Form serves as a crucial document for managing data privacy and information sharing in compliance with UK legislation. This document is essential when there's a need to share personal information between organizations or individuals while maintaining legal compliance and protecting privacy rights. It's particularly important in contexts where sensitive data is involved, such as medical records, financial information, or educational records. The form ensures that information sharing occurs with proper authorization and within defined parameters, as required by UK GDPR and related data protection laws in England and Wales.
Suggested Sections

1. Personal Details: Information about the person giving permission (name, address, contact details)

2. Information Description: Clear description of what information is being authorized for release

3. Recipient Details: Who is authorized to receive the information

4. Purpose Statement: Why the information is being released and how it will be used

5. Duration: How long the permission remains valid

6. Consent Statement: Clear statement of permission being granted

Optional Sections

1. Third Party Authorization: Additional permissions required when information relates to or affects third parties

2. Special Category Data: Additional permissions for sensitive data such as medical, religious, or other sensitive information

3. Representative Authority: Details of legal representative's authority when form is signed by someone other than the data subject

Suggested Schedules

1. Identity Verification Documents: Copies of documents used to verify the identity of the person giving permission

2. Detailed Information List: Itemized list of specific information to be released when too detailed for main form

3. Supporting Documentation: Any additional documents supporting the authorization (e.g., power of attorney)

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
























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Relevant Industries
Relevant Teams
Relevant Roles
Industries

UK General Data Protection Regulation (UK GDPR): Primary data protection legislation covering principles of data processing, lawful basis for processing, requirements for valid consent, and data subject rights. Essential for any information release form.

Data Protection Act 2018: UK's implementation of GDPR, including additional data protection requirements and specific provisions for handling special category data.

Freedom of Information Act 2000: Relevant when the organization receiving or releasing information is a public body, governing public access to information rights.

Common Law Duty of Confidentiality: Covers professional obligations including doctor-patient confidentiality and lawyer-client privilege, establishing fundamental principles of information confidentiality.

Access to Health Records Act 1990: Specific legislation governing access to medical records, including provisions for deceased patients' records.

Mental Capacity Act 2005: Legislation relevant when the person giving permission may lack capacity, including requirements for representatives and attorneys to act on their behalf.

Human Rights Act 1998: Particularly Article 8 regarding right to privacy, requiring careful balance between privacy rights and information sharing needs.

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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