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The Authorization To Release Health Care Information is a crucial document used in Pakistan's healthcare system when medical information needs to be shared between parties. This document is necessary whenever patient medical records need to be transferred between healthcare providers, shared with insurance companies, or released to other authorized parties. It ensures compliance with Pakistani privacy laws, including constitutional privacy rights and medical practice regulations. The authorization typically includes specific details about the patient, the information to be released, the recipient, and the purpose of the disclosure. It serves as a legal safeguard for healthcare providers while protecting patient privacy rights and controlling the scope and duration of information sharing.

1. Patient Information: Complete identification details of the patient including full name, date of birth, CNIC number, and contact information

2. Healthcare Provider Information: Details of the healthcare provider or facility currently holding the medical records

3. Recipient Information: Identity and contact details of the person or entity authorized to receive the health information

4. Information to be Released: Specific description of the medical information authorized for release, including date ranges and types of records

5. Purpose of Disclosure: Statement of the specific reason(s) for releasing the medical information

6. Duration of Authorization: Specific time period for which the authorization is valid

7. Rights and Notices: Statement of patient's rights including right to revoke authorization and any limitations

8. Signatures and Date: Space for required signatures including patient or legal representative, witness, and date of signing