51Ƶ

Release And Consent Form for the United States

Release And Consent Form Template for United States

A Release and Consent Form is a legal document used in the United States that combines two primary functions: releasing one party from liability or obligations and obtaining permission for specific activities or use of information. The document must comply with federal and state-specific requirements, including privacy laws, and may need to address particular jurisdictional requirements depending on the state where it's being used.

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
Release And Consent Form

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

What is a Release And Consent Form?

The Release And Consent Form serves as a critical risk management tool across various sectors in the United States. This document is commonly used when an organization needs both to obtain permission for specific activities and to protect itself from potential liability claims. The form must be carefully drafted to comply with both federal regulations and state-specific requirements, particularly regarding privacy laws, capacity to contract, and enforceability of waivers. The scope can range from simple activity participation to complex medical procedures or media usage rights.

What sections should be included in a Release And Consent Form?

1. Parties: Identification of the releasor and releasee, including full legal names and contact details

2. Background: Context and purpose of the release, explaining the circumstances necessitating the agreement

3. Definitions: Key terms used throughout the document defined for clarity and legal certainty

4. Scope of Release: Detailed description of the specific rights, claims, or actions being waived or released

5. Consideration: Statement of the value or consideration being provided in exchange for the release

6. Signatures: Execution block including date, signatures, and witness provisions if required

What sections are optional to include in a Release And Consent Form?

1. Medical Information Release: Specific provisions for the release of medical information, including HIPAA compliance requirements

2. Photo/Video Release: Provisions for the use, reproduction, and distribution of photographs, videos, or other media

3. Liability Waiver: Specific waiver of liability for injuries, damages, or losses related to specified activities

4. Confidentiality: Provisions regarding the confidential treatment of information exchanged or disclosed

What schedules should be included in a Release And Consent Form?

1. Schedule A - Description of Activities: Detailed list of activities, events, or circumstances covered by the release

2. Schedule B - Specific Rights Released: Comprehensive itemization of rights, claims, and causes of action being waived

3. Schedule C - Medical Information Details: Specific medical information being released, including any temporal or subject matter limitations

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

United States

Publisher

Genie AI

Cost

Free to use
Clauses

















Industries

Federal Privacy Laws: Various federal privacy regulations including general data protection requirements when personal information is involved in the release

HIPAA: Health Insurance Portability and Accountability Act requirements if medical information is part of the release and consent

FERPA: Family Educational Rights and Privacy Act considerations if educational records or information is involved

E-SIGN Act: Electronic Signatures in Global and National Commerce Act requirements for electronic execution of the release form

Age of Majority Laws: Federal regulations regarding age requirements for valid consent and contract formation

State Contract Laws: Specific state requirements for contract formation, execution, and enforcement

State Liability Laws: State-specific regulations regarding limitation of liability and release of claims

State Consent Requirements: Particular state rules and regulations regarding what constitutes valid consent

State Statute of Limitations: Time limitations for bringing claims under state law that may affect the release provisions

State Civil Procedure: State-specific rules governing legal proceedings and enforcement of release agreements

Contract Formation Principles: Common law requirements for valid contract formation including offer, acceptance, and consideration

Capacity Requirements: Legal principles regarding mental capacity and authority to enter into binding agreements

Unconscionability Doctrine: Legal principle preventing enforcement of grossly unfair or one-sided agreements

Duress and Undue Influence: Legal principles protecting against agreements made under pressure or improper persuasion

Clarity Requirements: Legal requirement that release terms must be clear and conspicuous to be enforceable

Waiver Limitations: Restrictions on what rights can and cannot be waived in a release agreement

Public Policy Restrictions: Limitations on release terms that may violate public policy or be against public interest

Scope Definition: Requirements for clearly defining the scope and extent of the release provisions

Consideration Rules: Legal requirements regarding exchange of value to make the release agreement binding

Notice Requirements: Rules regarding proper notice and disclosure of release terms to all parties

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

Military Medical Record Request Form

U.S. legal document for requesting military medical records in compliance with federal privacy laws.

find out more

Employment Background Check Release Form

A U.S. legal document authorizing employers to conduct background checks on job candidates while ensuring compliance with federal and state regulations.

find out more

Phi Consent Form

A U.S. HIPAA-compliant authorization form for the use and disclosure of protected health information.

find out more

Phi Authorization Form

A U.S. HIPAA-compliant form authorizing the disclosure of protected health information to specified recipients.

find out more

Dr Work Release Form

A U.S. compliant medical document authorizing an employee's return to work with specified conditions and restrictions.

find out more

Police Vehicle Release Form

A U.S. legal document authorizing the release of an impounded vehicle from police custody to its rightful owner or representative.

find out more

Authorization For Release Of Protected Health Information Phi

A U.S. HIPAA-compliant authorization form permitting the release of protected health information between specified parties.

find out more

Form For Requesting Medical Records

A HIPAA-compliant form used in the US for requesting personal medical records from healthcare providers.

find out more

Share Medical Information Form

A HIPAA-compliant authorization form used in the United States for sharing protected health information between specified parties.

find out more

Release Of Records Request Form

A U.S.-compliant form used to request and authorize the release of records from organizations or institutions.

find out more

Release Of Information Statement

A U.S. legal document authorizing the controlled disclosure of confidential information between specified parties.

find out more

Release Form From Police Department

A U.S. legal document authorizing police departments to release official records while ensuring compliance with federal and state privacy laws.

find out more

Printable Work Release Form

A U.S. legal document authorizing an employee's return to work following medical leave, including any necessary work restrictions or accommodations.

find out more

Military Dependent Medical Records Request Form

A U.S. military healthcare system form for requesting medical records of military dependents, compliant with federal privacy regulations.

find out more

Medical Records Pick Up Form

A U.S.-compliant form authorizing the release and pick-up of medical records, ensuring HIPAA compliance and patient privacy protection.

find out more

Letter For Medical Records Request

A HIPAA-compliant formal request for medical records under U.S. federal and state laws.

find out more

Generic Dental Records Release Form

A HIPAA-compliant U.S. form authorizing the release of dental records from provider to patient or designated recipient.

find out more

Employee Photo Consent Form Gdpr

A dual-jurisdiction (US/EU) consent form for employee photo usage that complies with GDPR and US privacy requirements.

find out more

Dental Release Of Information Form

A U.S.-compliant legal document authorizing the release of dental records from a provider to specified recipients while maintaining HIPAA compliance.

find out more

CT Medical Records Release Form

A HIPAA-compliant authorization form used in the U.S. to permit the release of medical records to designated recipients.

find out more

Consent For Use And Disclosure Of Health Information Form

A U.S. HIPAA-compliant authorization form allowing healthcare providers to use and share protected health information.

find out more

Authorization To Release Rental History

A U.S. legal document authorizing the release of tenant rental history information while complying with federal and state privacy laws.

find out more

Authorization To Release Credit Information Form

A U.S. legal document granting permission to access an individual's credit report and financial information, compliant with FCRA and state privacy laws.

find out more

Authorization To Disclose Medical Information Form

A U.S. HIPAA-compliant form authorizing the release of specified medical information to designated recipients.

find out more

Authorization Release Form For Background Check

A U.S. legal document authorizing employers to conduct background checks on potential or current employees in compliance with federal and state regulations.

find out more

Athletic Medical Release Form

A U.S. legal form authorizing emergency medical treatment for athletes and providing liability protection for healthcare providers and athletic organizations.

find out more

Minor Medical Treatment Authorization Form

A U.S. legal document authorizing medical treatment for minors when parents/guardians are not present.

find out more

Medical Consent Form For Temporary Guardian

A U.S. legal document authorizing a temporary guardian to make medical decisions for a minor when the primary guardian is unavailable.

find out more

Authorization For Release

A U.S. legal document granting permission to share specified information between parties, compliant with federal and state privacy laws.

find out more

Written Authorization To Release Information

A U.S.-compliant legal document authorizing the release of specific personal information between designated parties.

find out more

Workers Comp Medical Release Form

A U.S. legal document authorizing the release of medical information for workers' compensation claims processing.

find out more

Work Release Form Hospital

A U.S. legal document providing medical clearance for employees to return to work, including any necessary restrictions or accommodations.

find out more

Veterinary Medical Release Form

A U.S. legal document authorizing veterinary professionals to provide medical treatment to an animal in the owner's absence.

find out more

Universal Medical Release Form

A HIPAA-compliant authorization form used in the United States for releasing medical records to specified parties.

find out more

Service Release Form

A U.S.-compliant legal document that confirms service completion and releases parties from related future claims or obligations.

find out more

Revocation Of Release Of Information Form

A U.S. legal document used to withdraw previous authorization for sharing personal information, compliant with federal and state privacy laws.

find out more

Release Form For Video Recording

A U.S. legal document granting permission to record and use an individual's image and likeness in video content.

find out more

Records Request Form Medical

A U.S.-compliant form used to request and authorize the release of medical records under HIPAA regulations.

find out more

Public Adjuster Release Form

A U.S. legal document that releases a public adjuster from further obligations upon completion of insurance claim services and receipt of payment.

find out more

Physician Medical Release Form

A U.S. legal document authorizing healthcare providers to release patient medical information in compliance with HIPAA regulations.

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