51Ƶ

Share Medical Information Form for Switzerland

Share Medical Information Form Template for Switzerland

A Share Medical Information Form governed by Swiss law is a legally binding document that authorizes the sharing of a patient's medical information between specified healthcare providers and authorized recipients. This document complies with the Federal Act on Data Protection (FADP/DSG) and the Federal Act on Electronic Patient Records (EPRA/EPDG), ensuring proper handling of sensitive medical data while protecting patient privacy rights. The form includes detailed specifications about what information can be shared, with whom, for what purpose, and for how long, while incorporating necessary safeguards and patient rights under Swiss healthcare regulations.

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.

Download a Standard Template

4.6 / 5
4.8 / 5
Access for free
OR

Alternatively: Run an advanced review of an existing
Share Medical Information Form

Let Genie AI's market-leading legal AI identify missing terms, unusual language, compliance issues and more - in just seconds.

What is a Share Medical Information Form?

The Share Medical Information Form is a critical document used in Swiss healthcare settings when there is a need to share patient medical information between different healthcare providers or authorized parties. This form is essential for maintaining compliance with Swiss data protection laws, particularly the FADP/DSG and EPRA/EPDG, while facilitating necessary medical information exchange. It becomes relevant when patients require coordinated care across multiple providers, during referrals, for insurance purposes, or in research contexts. The document ensures that sensitive medical data is shared securely and legally, with explicit patient consent, while preserving patient rights and privacy protections under Swiss law. Healthcare providers must use this form to document patient authorization before sharing any protected health information with third parties.

What sections should be included in a Share Medical Information Form?

1. Patient Information: Full legal name, date of birth, address, contact details, and health insurance information of the patient

2. Healthcare Provider Details: Information about the primary healthcare provider/facility authorized to share the information

3. Authorized Recipients: List of healthcare providers, institutions, or individuals authorized to receive the medical information

4. Scope of Authorization: Specific medical information authorized for sharing, including time period covered

5. Purpose of Disclosure: Clearly stated purpose(s) for which the medical information may be shared

6. Duration of Authorization: Validity period of the authorization and expiration date

7. Patient Rights: Statement of patient's rights including right to revoke authorization and receive copies

8. Signatures: Spaces for patient signature (or legal representative) and date, with witness signature if required

What sections are optional to include in a Share Medical Information Form?

1. Legal Representative Authorization: Required when the form is signed by someone other than the patient (e.g., parent, guardian, power of attorney)

2. Specific Exclusions: Section listing any specific medical information that should NOT be shared

3. Emergency Contact: Optional section for emergency contact information

4. Electronic Records Consent: Additional consent specifically for electronic sharing of records, required if electronic sharing is anticipated

5. Language Confirmation: Required for non-native speakers, confirming the form has been explained in a language they understand

What schedules should be included in a Share Medical Information Form?

1. List of Authorized Information: Detailed checklist of specific medical information types authorized for sharing (e.g., test results, medications, diagnoses)

2. Recipient Details: Detailed information about each authorized recipient, including contact details and professional credentials

3. Privacy Notice: Summary of relevant privacy laws and patient rights under Swiss law

4. Revocation Form: Template form for revoking the authorization if needed

Authors

Alex Denne

Head of Growth (Open Source Law) @ Genie AI | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

Jurisdiction

Switzerland

Publisher

Genie AI

Cost

Free to use
Relevant legal definitions

























Clauses


















Relevant Industries

Healthcare

Insurance

Medical Research

Pharmaceuticals

Elder Care

Mental Health

Rehabilitation Services

Public Health

Healthcare Technology

Medical Education

Relevant Teams

Legal

Compliance

Medical Records

Patient Administration

Data Protection

Clinical Operations

Quality Assurance

Risk Management

Patient Services

Information Technology

Relevant Roles

Medical Director

Hospital Administrator

Privacy Officer

Data Protection Officer

Healthcare Compliance Manager

Medical Records Manager

Clinical Director

General Practitioner

Medical Secretary

Legal Counsel

Healthcare Risk Manager

Patient Relations Coordinator

Insurance Coordinator

Research Coordinator

Medical Office Manager

Industries








Teams

Employer, Employee, Start Date, Job Title, Department, Location, Probationary Period, Notice Period, Salary, Overtime, Vacation Pay, Statutory Holidays, Benefits, Bonus, Expenses, Working Hours, Rest Breaks,  Leaves of Absence, Confidentiality, Intellectual Property, Non-Solicitation, Non-Competition, Code of Conduct, Termination,  Severance Pay, Governing Law, Entire Agreemen

Find the exact document you need

Prison Release Form

A Swiss legal document that formalizes prisoner release conditions and obligations under federal and cantonal law.

find out more

Tenant Release Form

A Swiss-law governed document that formally terminates a lease agreement and releases a tenant from their contractual obligations under Swiss federal and cantonal regulations.

find out more

Release Of Health Information Form

A Swiss-compliant authorization form for releasing protected health information, ensuring adherence to Swiss federal data protection and healthcare privacy laws.

find out more

Consent Form For Social (Media)

Swiss-compliant social media consent form for managing personal content usage and data protection under FDPA guidelines.

find out more

Promissory Note Release

A Swiss law-governed document that releases and discharges a debtor from their obligations under a promissory note.

find out more

Form Medical Record

A Swiss-compliant medical record form for comprehensive patient information documentation, meeting federal and cantonal healthcare regulations.

find out more

Authorization To Disclose

A Swiss-law governed document authorizing the disclosure of specific information, ensuring compliance with Swiss federal and cantonal data protection requirements.

find out more

Participant Release Form

A Swiss-law compliant release form establishing participation terms, liability provisions, and consent for activities while protecting personal rights under Swiss federal regulations.

find out more

Video Release Consent Form

A Swiss-law governed consent form for video recording and usage rights, ensuring compliance with Swiss privacy and data protection regulations.

find out more

Customer Release Form

A Swiss law-governed release form obtaining customer consent and risk acknowledgment while protecting business interests within Swiss legal parameters.

find out more

Termination Of Account Letter

A Swiss law-governed formal letter requesting the closure of a banking account, including account details and final disposition instructions.

find out more

Photography Consent Form

A Swiss-law compliant consent form for the authorized capture and use of photographic images, protecting both photographer and subject rights.

find out more

Medical Records Form

A Swiss-compliant medical records form for collecting and maintaining patient medical information, adhering to Swiss federal data protection and healthcare regulations.

find out more

Release Request Form

A Swiss law-compliant document used to formally request the release of specific information or records, incorporating necessary legal declarations and data protection requirements.

find out more

Pre Employment Background Check Consent Form

Swiss-compliant consent form for pre-employment background checks, aligned with Swiss Federal Data Protection Act and employment laws.

find out more

New Release Form

A Swiss law-compliant document granting permission for use of personal attributes in media, protecting both the individual's rights and the organization's usage rights.

find out more

Digital Release Form

A Swiss law-governed document authorizing the release and use of digital content while ensuring compliance with local data protection and copyright regulations.

find out more

Release Letter Form

A Swiss-law governed document that formally releases parties from specific obligations or claims, typically used in employment contexts.

find out more

Protected Health Information Form

Swiss-compliant Protected Health Information Form for managing patient data under FDPA and healthcare regulations.

find out more

Media Permission Form

A Swiss law-compliant form obtaining consent for media usage rights while ensuring adherence to Swiss privacy and data protection regulations.

find out more

Actor Release Form

A Swiss-law governed release form authorizing the use of an actor's performance, image, and likeness in media productions, while protecting both parties' legal interests.

find out more

Share Medical Information Form

A Swiss-law compliant authorization form for sharing patient medical information between healthcare providers and authorized recipients, adhering to Swiss data protection and healthcare privacy requirements.

find out more

Records Request Form Medical

Swiss-compliant form for requesting medical records access, aligned with federal data protection and healthcare regulations.

find out more

Patient Record Request Form

A Swiss-compliant form for requesting patient medical records, adhering to federal and cantonal healthcare privacy laws.

find out more

Physician Release To Return To Work Form

A Swiss-compliant medical certification form documenting an employee's fitness to return to work, including any necessary restrictions or accommodations.

find out more

Authorization For Use Disclosure Of Health Information

A Swiss-law compliant authorization form for the use and disclosure of protected health information, ensuring proper handling of patient data under Swiss federal and cantonal regulations.

find out more

Medical History Request Form

A Swiss-compliant form for requesting and authorizing the release of patient medical history records, adhering to Swiss federal healthcare and data protection regulations.

find out more

Fingerprint Release Form

A Swiss-law compliant consent form for the collection and processing of fingerprint data, ensuring adherence to FADP/DSG requirements and data protection standards.

find out more

Basic Media Release Form

A Swiss-law compliant media release form authorizing the capture and use of an individual's likeness or media content while protecting privacy rights under Swiss law.

find out more

Patient Medical Records Request Form

A Swiss-compliant form for requesting and authorizing the release of patient medical records, adhering to Swiss federal data protection and healthcare regulations.

find out more

Medical History Consent Form

A Swiss-law compliant consent form for collecting and processing patient medical history, incorporating federal and cantonal healthcare and data protection requirements.

find out more

General Photo Release Form

A Swiss-compliant legal document granting permission to capture, store, and use photographs while adhering to Swiss privacy and data protection laws.

find out more

Permission To Release Information Form

A Swiss-law compliant document authorizing the release of personal information to specified parties, adhering to Swiss data protection regulations.

find out more

Real Estate Release Form

A notarized Swiss legal document for releasing rights or claims to real property, compliant with Swiss civil law and cantonal requirements.

find out more

Release And Discharge Letter

A Swiss law-governed formal document that releases parties from specified legal claims, liabilities, or obligations, providing legal finality to settlements or terminations.

find out more

Medical Records Request Form

Swiss-compliant form for requesting medical records access, aligned with Federal Data Protection Act and healthcare regulations.

find out more

Health Record Request Form

A Swiss-compliant form for requesting and authorizing the release of medical records, adhering to Swiss federal and cantonal healthcare regulations.

find out more

Generic Release Of Information Form

A Swiss-law compliant authorization form for the controlled release of personal information, governed by Federal Data Protection Act requirements.

find out more

Data Release Consent Form

A Swiss law-compliant consent form for obtaining permission to collect and process personal data, aligned with FADP/DSG requirements.

find out more

Permission Medical Consent Form For Adults

A Swiss-compliant medical consent form for obtaining informed consent from adult patients for medical procedures and treatments, aligned with Swiss healthcare laws.

find out more
See more related templates

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