Consent to Release Medical Records

This Consent to Release Medical Records can be used by individuals to allow organisations to access their records, or by organisations seeking such consent.

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Last updated January 14, 2025

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Suitable for Australia

Consent to Release Medical Records

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What is a consent to release medical records?

A consent to release medical records is a legal document that authorises a healthcare provider or organisation to share your personal medical information with a specified third party.
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When should you use a consent to release medical records?

You should use this document when you need to give permission for your medical information to be shared, such as for insurance claims, employment, or transferring care to another provider.
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What should be in a consent to release medical records?

It should include your personal details, specify what information can be released, name the recipient, and be signed and dated to confirm your consent.
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Frequently asked questions

What is a consent to release medical records?

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When should you use a consent to release medical records?

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What should be in a consent to release medical records?

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Who can request access to your medical records with this consent?

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What protections does this consent provide for your information?

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Can you withdraw your consent after signing?

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What are the next steps after completing the form?

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View Sample Consent to Release Medical Records

Consent to Release Medical Records
risk level indicator at Medium level

The Legal Risk Score of a Consent to Release Medical Records Template is Medium

Our legal team have marked this document as medium risk considering:

  • The release of medical records can expose sensitive personal health information, which could be misused if not properly safeguarded.
  • Once consent is given, the scope of information released is broad, including medical history, diagnoses, and treatment details, which might be more information than the patient anticipates sharing.
  • The document allows for withdrawal of consent at any time, but it does not specify the process or immediate effect of withdrawal, potentially leading to a lag during which information could still be shared.

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