Accommodation Medical Release Form

Accommodation Medical Release Form Template for England and Wales

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Key Requirements PROMPT example:

"I need an Accommodation Medical Release Form for a student housing facility in Cardiff, covering 200 international students who will be residing from January 2025, with specific provisions for sharing information with local healthcare providers and emergency services."

Document background

The Accommodation Medical Release Form is essential for facilities providing residential services where medical information may be needed for resident care or emergency response. This document, governed by English and Welsh law, enables accommodation providers to legally obtain and maintain necessary medical information while complying with data protection requirements. It typically includes emergency contact information, relevant medical history, and specific authorizations for information sharing, serving as a crucial tool for risk management and resident care.

Suggested Sections

1. Personal Information: Details of the resident/patient including full name, DOB, and contact information

2. Emergency Contact Details: Primary and secondary emergency contact information

3. Medical Information Release Authorization: Specific permissions for sharing medical information

4. Scope of Release: Detailed description of what medical information can be shared and with whom

5. Duration of Authorization: Time period for which the release is valid

Optional Sections

1. Special Medical Conditions: Used when resident has specific medical conditions requiring attention

2. Medication Schedule: Details of regular medications and when resident requires regular medication

3. Healthcare Provider Information: Details of current healthcare providers when coordination with existing healthcare providers is needed

Suggested Schedules

1. Schedule A - Medical History Form: Detailed medical history provided by resident or their physician

2. Schedule B - Specific Consent Forms: Additional consent forms for specific medical procedures or information sharing

3. Appendix 1 - Privacy Notice: Detailed information about how medical data will be processed and protected

Authors

Alex Denne

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

alex.den.21@genieai.co

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