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Authorization Letter Due To Health Condition
"I need an Authorization Letter Due To Health Condition that allows my sister to make medical decisions on my behalf while I undergo chemotherapy treatment from January to June 2025, including authority to access my medical records and handle insurance claims."
1. Date and Location: Current date and place of writing
2. Authorizer Details: Full name, NRIC, address, and contact information of person giving authorization
3. Authorized Person Details: Full name, NRIC, address, and contact information of person receiving authorization
4. Health Condition Statement: Brief description of relevant health condition necessitating the authorization
5. Scope of Authorization: Specific powers and responsibilities being granted
6. Duration: Time period for which authorization is valid
7. Signature Block: Spaces for signatures of authorizer, authorized person, and witnesses
1. Medical Information Release: Specific authorization for access to medical records - include when medical information access is required
2. Financial Authority: Authorization for handling medical expenses and insurance claims - include when financial decisions related to healthcare are needed
3. Emergency Contact Information: Additional emergency contacts besides authorized person - include when multiple contacts need to be listed
1. Medical Certificate: Doctor's certification of health condition
2. Identity Documents: Copies of NRIC/passport of both parties
3. Witness Statements: Additional declarations by witnesses if required
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