The Medical Release Letter is a crucial document in New Zealand's healthcare system, designed to facilitate the secure and authorized sharing of patient medical information while maintaining compliance with privacy laws. This document becomes necessary when medical information needs to be shared between healthcare providers, insurance companies, or other authorized parties. It must comply with the Health Information Privacy Code 2020 and the Privacy Act 2020, among other relevant New Zealand legislation. The letter includes specific details about the patient, the information to be released, the recipient, and any limitations or conditions of the release. It serves as a protection mechanism for both healthcare providers and patients, ensuring that sensitive medical information is shared appropriately and with proper authorization.
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1. Patient Information: Full legal name, date of birth, NHI number, and contact details of the patient
2. Healthcare Provider Details: Name, address, and contact information of the healthcare provider/facility releasing the information
3. Recipient Information: Name, role/organization, and contact details of the person or entity authorized to receive the medical information
4. Scope of Authorization: Specific description of what medical information is authorized for release
5. Patient Declaration: Statement of voluntary authorization and understanding of rights
6. Signature Block: Space for patient signature, date, and witness signature if required
1. Time Limitation: Specific period for which the authorization is valid, used when the release authorization should not be indefinite
2. Purpose of Release: Specific reason for the information release, included when the release is for a particular purpose only
3. Specific Exclusions: List of specific information that should NOT be released, used when certain medical information should be withheld
4. Emergency Contact: Details of emergency contact person, included when relevant for ongoing care or emergency situations
5. Interpreter Declaration: Section for interpreter details and signature, required when the patient's primary language is not English
1. List of Specific Records: Detailed list of specific medical records to be released, attached when the release covers specific documents or time periods
2. Privacy Notice: Detailed information about privacy rights and how the information will be handled
3. Proof of Identity: Copies of identification documents when required for verification purposes
Relevant legal definitions
Clauses
Relevant Industries
Healthcare
Insurance
Legal Services
Medical Research
Occupational Health
Public Health
Education (Medical)
Pharmaceutical
Social Services
Government Health Services
Relevant Teams
Medical Records
Administration
Legal
Compliance
Patient Services
Clinical Operations
Privacy and Data Protection
Insurance Processing
Research Administration
Quality Assurance
Relevant Roles
Medical Doctor
Nurse Practitioner
Healthcare Administrator
Medical Records Officer
Privacy Officer
Compliance Manager
Legal Counsel
Insurance Claims Processor
Clinical Director
Practice Manager
Healthcare Coordinator
Medical Secretary
Research Coordinator
Occupational Health Officer
Patient Services Representative
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