The Emergency Medical Authorization Form is a critical legal document used within Hong Kong's healthcare system to facilitate immediate medical treatment in emergency situations. It is particularly important when patients are unable to provide real-time consent due to their medical condition or incapacity. The document includes essential patient information, medical history, emergency contacts, and explicit authorization for medical procedures, complying with Hong Kong's healthcare regulations and privacy laws. This form is commonly required by hospitals, schools, elderly care facilities, and organizations where emergency medical situations might arise. It serves dual purposes: enabling healthcare providers to act swiftly while protecting them legally, and ensuring patients receive appropriate care aligned with their pre-stated preferences and medical history.
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1. Patient Information: Full legal name, HKID/passport number, date of birth, address, and contact information of the patient
2. Emergency Contacts: Names and contact information for primary and secondary emergency contacts
3. Medical History Summary: Critical medical information including allergies, current medications, and significant medical conditions
4. Authorization Grant: Clear statement of authorization for emergency medical treatment, including scope of authorized treatments and procedures
5. Healthcare Provider Authorization: Authorization for healthcare providers to provide necessary emergency treatment and release of liability
6. Information Release Authorization: Permission to release medical information to authorized emergency contacts and relevant healthcare providers
7. Duration and Validity: Period for which the authorization is valid and circumstances under which it may be revoked
8. Execution: Signature blocks for the patient or legal guardian, witnesses, and date of execution
1. Guardian/Parent Authorization: Required when the patient is under 18 or mentally incapacitated, including guardian's details and proof of authority
2. Religious or Cultural Preferences: Specific religious or cultural considerations that may affect medical treatment
3. Organ Donation Preferences: Patient's wishes regarding organ donation in case of death
4. Insurance Information: Details of medical insurance coverage and preferred hospital network
5. Advance Directives Reference: Reference to any existing advance directives or living will, if applicable
6. Language Preferences: Preferred language for communication and need for interpreter services
1. Schedule A - Medical History Details: Detailed medical history form including past surgeries, chronic conditions, and family medical history
2. Schedule B - Medication List: Comprehensive list of current medications, dosages, and prescribing physicians
3. Schedule C - Emergency Treatment Preferences: Specific preferences or restrictions for emergency medical treatments
4. Appendix 1 - Authorized Healthcare Providers: List of pre-approved healthcare providers or facilities
5. Appendix 2 - Consent for Specific Procedures: Detailed consent forms for specific high-risk procedures that may be necessary in emergencies
Authors
Relevant legal definitions
Clauses
Relevant Industries
Healthcare
Medical Insurance
Emergency Services
Education
Sports and Recreation
Elderly Care
Child Care
Travel and Tourism
Corporate Health Services
Legal Services
Relevant Teams
Legal
Human Resources
Risk Management
Compliance
Emergency Response
Medical Administration
Health and Safety
Student Affairs
Patient Services
Insurance Claims
Medical Records
Relevant Roles
Healthcare Administrator
Medical Director
School Principal
HR Manager
Legal Counsel
Risk Management Officer
Compliance Officer
Emergency Services Coordinator
School Nurse
Camp Director
Tour Operator
Sports Facility Manager
Elderly Care Facility Manager
Corporate Health and Safety Officer
Insurance Claims Manager
Medical Records Administrator
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