Release Of Information Form

Release Of Information Form Template for Pakistan

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Key Requirements PROMPT example:

"I need a Release of Information Form for my medical clinic in Lahore that allows patients to authorize the sharing of their health records with specified specialists, with the authorization valid until March 2025 and including provisions for electronic transmission of records."

Document background

The Release of Information Form serves as a crucial legal instrument in Pakistan's data protection and privacy landscape. This document is essential when there's a need to share confidential information between authorized parties while maintaining compliance with Pakistani privacy laws and regulations. It's commonly used in healthcare settings, educational institutions, financial services, and government agencies where sensitive personal information needs to be shared with third parties. The form must align with the Personal Data Protection Bill 2023, the Prevention of Electronic Crimes Act 2016, and constitutional privacy rights. It includes specific provisions for consent, information scope, duration of authorization, and the rights of the information provider. The document can be customized based on the type of information being shared and the specific requirements of the involved parties, while maintaining the core elements required by Pakistani law.

Suggested Sections

1. Information Provider Details: Full identification details of the person whose information will be released, including name, CNIC number, contact information, and date of birth

2. Requesting Entity Information: Details of the organization/person requesting the information, including name, contact information, and relationship to the information provider

3. Information to be Released: Specific description of what information is authorized for release, including type, date range, and format of information

4. Purpose of Release: Clear statement of why the information is being requested and how it will be used

5. Duration of Authorization: Specific timeframe for which the authorization is valid, including start and end dates

6. Rights and Revocation: Statement of the provider's rights, including the right to revoke authorization and the process for doing so

7. Signatures and Date: Space for signatures of the information provider, witness, and date of signing

Optional Sections

1. Witness Requirements: Additional section for witness information and attestation, required when dealing with sensitive information or when the provider is illiterate

2. Guardian Authorization: Required when the information pertains to a minor or person lacking legal capacity to consent

3. Electronic Distribution Authorization: Specific authorization for electronic transmission of information, including email or digital platforms

4. Re-disclosure Restrictions: Specific restrictions on further sharing or re-disclosure of the information by the receiving party

5. Translation Certificate: Required when the form is provided in multiple languages, certifying the accuracy of the translation

Suggested Schedules

1. Specific Information Checklist: Detailed checklist of specific information types authorized for release, allowing for clear selection

2. Authorized Recipients List: List of specific individuals or entities authorized to receive the information, if multiple recipients are involved

3. Information Security Requirements: Detailed requirements for how the released information must be handled, stored, and protected by the receiving party

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

alex.den.21@genieai.co

Relevant legal definitions

Clauses

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Healthcare

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Banking and Finance

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Human Resources

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Research and Academia

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Legal

Compliance

Medical Records

Human Resources

Information Security

Administrative Services

Risk Management

Data Protection

Customer Service

Operations

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Privacy Officer

Compliance Manager

Medical Records Administrator

Legal Counsel

Human Resources Manager

Data Protection Officer

Records Manager

Information Security Officer

Administrative Coordinator

Healthcare Administrator

School Registrar

Banking Officer

Insurance Claims Manager

Government Administrative Officer

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Legal Authorization Letter

A formal document under Pakistani law that delegates specific powers or authority from one party to another, requiring compliance with local legal requirements and proper authentication.

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Authors

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