The Permission And Medical Release Form is a crucial legal document used across various organizations in New Zealand where there is a need to obtain authorization for potential medical treatment and collect relevant health information. This document becomes essential when organizations are responsible for individuals' welfare during activities, events, or programs. It ensures compliance with New Zealand's healthcare and privacy laws, including the Privacy Act 2020 and Health Information Privacy Code 2020. The form serves multiple purposes: it provides authorization for emergency medical treatment, collects relevant medical history and conditions, establishes emergency contacts, and includes necessary liability waivers. Organizations typically require this document before allowing participation in activities where medical situations might arise, ensuring they have proper authorization to act in the participant's best interests during medical emergencies.
Your data doesn't train Genie's AI
You keep IP ownership of your information
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
OR
Let Ƶ's market-leading legal AI identify missing terms, unusual language, compliance issues and more - in just seconds.
1. Participant Information: Details of the person for whom permission is being granted, including full name, date of birth, and contact information
2. Parent/Guardian Information: If participant is a minor, details of the parent or legal guardian providing consent
3. Emergency Contacts: List of primary and secondary emergency contacts with their relationship to participant and contact details
4. Medical Information: Current medical conditions, allergies, medications, and relevant medical history
5. Consent for Medical Treatment: Authorization for emergency medical treatment and procedures if needed
6. Privacy Statement: How personal and medical information will be collected, used, stored and shared, in compliance with Privacy Act 2020
7. Release of Liability: Waiver of liability for medical treatment decisions and outcomes
8. Duration of Authorization: Period for which the permission and release remain valid
9. Signature Block: Space for signatures of participant/guardian, date, and witness if required
1. Specific Activity Authorization: Used when the form relates to particular activities (e.g., sports, camps) requiring specific consent
2. Insurance Information: Include when relevant to capture health insurance details and coverage
3. Medical Provider Preferences: Add when allowing specification of preferred medical providers or facilities
4. Medication Administration: Include when regular medication needs to be administered during activities
5. Photo/Media Release: Add when activities may involve photography or media recording
6. Transportation Authorization: Include when emergency medical transportation might be needed
7. Cultural/Religious Considerations: Add when specific cultural or religious medical preferences need to be documented
1. Schedule A - Detailed Medical History: Comprehensive medical history form including past surgeries, conditions, and treatments
2. Schedule B - Medication List: Detailed list of current medications, dosages, and administration instructions
3. Schedule C - Allergies and Reactions: Detailed information about known allergies and appropriate emergency responses
4. Schedule D - Emergency Protocol: Step-by-step procedures to follow in case of specific medical emergencies
5. Appendix 1 - Medical Provider Information: Contact details and locations of preferred medical providers and facilities
6. Appendix 2 - Insurance Information: Copies of insurance cards and coverage details
Relevant legal definitions
Clauses
Relevant Industries
Education
Sports and Recreation
Healthcare
Childcare
Tourism and Adventure Activities
Community Services
Youth Services
Corporate Events
Non-Profit Organizations
Religious Organizations
Summer Camps
Fitness and Wellness
Relevant Teams
Legal
Risk Management
Health and Safety
Human Resources
Operations
Compliance
Program Management
Event Planning
Youth Services
Recreation Services
Administrative Services
Relevant Roles
Risk Manager
Health and Safety Coordinator
Program Director
Event Manager
School Administrator
Camp Director
Recreation Coordinator
Human Resources Manager
Legal Counsel
Operations Manager
Activity Coordinator
Compliance Officer
Youth Program Coordinator
Sports Coach
Outdoor Education Instructor
Field Trip Coordinator
Find the exact document you need
Online Medical Consent Form
A New Zealand-compliant online medical consent form for documenting patient authorization for healthcare procedures and treatments.
Download
Employee Medical Release Form
A New Zealand-compliant form authorizing the release and handling of employee medical information between healthcare providers and employers, aligned with NZ privacy laws.
Download
Consent To Disclose Medical Information
A New Zealand-compliant legal document authorizing the disclosure of medical information between specified parties, subject to Privacy Act 2020 requirements.
Download
Consent Form To Disclose Medical Information
A New Zealand-compliant consent form for authorizing the disclosure of patient medical information, aligned with local privacy and healthcare regulations.
Download
Consent Form For Social (Media)
New Zealand-compliant social media consent form establishing permissions for content usage and personal information sharing across social media platforms.
Download
Authorization Letter For Hospital Records
A legally compliant New Zealand authorization document permitting the release of specified hospital records to designated recipients under NZ privacy laws.
Download
3rd Party Release Form
A New Zealand law-governed document that formally releases one party from claims or liabilities by another party, providing legal protection against future claims.
Download
Authorization To Release Employment Information
A New Zealand-compliant authorization form for releasing employment information, aligned with the Privacy Act 2020 requirements.
Download
Generic Medical Release Form
A New Zealand-compliant form authorizing the release of medical information between specified parties, adhering to NZ privacy and healthcare laws.
Download
Inmate Release Form
A New Zealand corrections document that formally records and authorizes an inmate's release from custody, including release conditions and property return verification.
Download
Authorization To Share Information
A New Zealand-compliant authorization template for lawful information sharing between organizations, aligned with the Privacy Act 2020.
Download
Medical Photo Consent Form
A New Zealand-compliant consent form for obtaining patient authorization for medical photography, meeting all relevant healthcare and privacy regulations.
Download
Authorization To Disclose Information Form
A New Zealand-compliant legal form authorizing the disclosure of personal information between specified parties, governed by the Privacy Act 2020.
Download
Legal Photo Release Form
A New Zealand-compliant legal document that grants permission for the use of photographs, protecting both photographer and subject rights under NZ law.
Download
Psychologist Release Of Information Form
A New Zealand-compliant authorization form for the release of psychological information, designed to protect client privacy rights while facilitating necessary information sharing.
Download
Release Of Information Form Mental Health
A New Zealand-compliant form authorizing the release of mental health records, ensuring proper consent and privacy protection under local legislation.
Download
Travel Release Form For Minor
A New Zealand-compliant legal document authorizing a minor's travel, either domestic or international, with specified conditions and emergency provisions.
Download
Authorization To Release Personal Information
A New Zealand-compliant authorization form allowing individuals to permit the release of their personal information to specified parties under the Privacy Act 2020.
Download
Participant Release Form
A New Zealand-compliant legal document obtaining participant consent, media rights, and liability release for various activities and events.
Download
Video Release Consent Form
A New Zealand-compliant consent form for obtaining permission to record and use video footage of individuals, aligned with local privacy and media laws.
Download
Customer Release Form
A New Zealand-compliant legal document that establishes liability waivers and release terms between businesses and their customers.
Download
Termination Of Account Letter
A formal New Zealand-compliant letter document used to officially terminate an account relationship between a service provider and account holder.
Download
Photography Consent Form
A New Zealand-compliant legal document establishing consent for photography capture, usage, and publication rights, governed by NZ law.
Download
Consent To Share Medical Information Form
A New Zealand-compliant consent form for authorizing the sharing of patient medical information between healthcare providers and specified parties.
Download
Consent Form To Share Information
A New Zealand-compliant consent form for organizations to legally obtain permission to collect, use, and share personal information under NZ privacy laws.
Download
Authorization To Disclose Health Information Form
A New Zealand-compliant form authorizing the disclosure of patient health information under NZ privacy laws.
Download
Disclosure Of Health Information Form
A New Zealand-compliant form for authorizing the disclosure of patient health information under the Privacy Act 2020 and Health Information Privacy Code.
Download
Authorization Letter To Release Information
A New Zealand-compliant legal document authorizing the release of specific information from one party to another, subject to Privacy Act 2020 requirements.
Download
Standard Medical Consent Form
A New Zealand-compliant medical consent form for documenting informed patient consent to medical procedures and treatments.
Download
Records Release Form
A New Zealand-compliant legal document authorizing the release and transfer of specific records between parties, subject to privacy laws and data protection requirements.
Download
Motor Vehicle Accident Release Form
A New Zealand-specific legal document that formalizes settlement agreements between parties involved in a motor vehicle accident, operating within the ACC framework.
Download
Minor Consent To Treat Form
A New Zealand-compliant legal form authorizing healthcare providers to deliver medical treatment to minors with parent/guardian consent.
Download
Injury Release Form
A New Zealand-compliant waiver document for acknowledging risks and releasing liability claims, designed to work within NZ's ACC scheme framework.
Download
Employee Key Release Form
A New Zealand-compliant form documenting the issuance of keys/access devices to employees, outlining responsibilities and security protocols.
Download
Authorization Release Form For Medical Records
A New Zealand-compliant legal form authorizing the release and transfer of patient medical records between specified parties under NZ privacy laws.
Download
Temporary Guardian Medical Release Form
A New Zealand-compliant legal form that delegates temporary medical decision-making authority for minors to a designated guardian.
Download
Simple Medical Consent Form
A New Zealand-compliant medical consent form for documenting patient approval for healthcare procedures and treatments.
Download
Release Letter Form
A New Zealand-compliant legal document that formally releases one party from claims or obligations by another party.
Download
Protected Health Information Form
A New Zealand-compliant form for managing protected health information collection, use, and disclosure in healthcare settings under NZ privacy laws.
Download
Permission To Use Photo Agreement
A New Zealand-compliant agreement governing the authorized use of photographs, establishing terms between the copyright holder and the user.
Download
ұԾ’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; ұԾ’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
We are ISO27001 certified, so your data is secure
Organizational security:
You retain IP ownership of your documents and their information
You have full control over your data and who gets to see it
.png)