Do you need to obtain consent to release personal information to a specific recipient or organization? If so, then you should check out the Release of Information Form Template from WPForms.
This template provides a great foundational form for healthcare providers, institutions, or other groups that share sensitive information with designated individuals, organizations, or agencies.
Why Should I Use a Release of Information Form Template?
The purpose of a Release of Information Form is to ensure that individuals have control over their private information and can make informed decisions about its disclosure.
And, by using a template, you can ensure consistency, accuracy, and compliance with relevant laws and regulations when obtaining consent for releasing confidential information.
On our Release of Information Form, the template first collects the releasor’s name, date of birth, and contact information.
Next, the form gathers the details of the release. The form user will describe the information being released, along with the purpose of the release. They’ll also provide the duration of the release by giving the effective “from” date along with the effective “to” date.
Then, the Release of Information Form collects the recipient’s name and email and offers a field for their phone number.
Finally, the form requires an authorization expiration date, acceptance of the terms and conditions, and the user’s signature.
It’s important to note that while this template provides a useful starting point, organizations should edit the form to align with their specific legal obligations and internal policies. So, you’ll want to insert your own terms and conditions, along with other details, on this form.
Get started with WPForms today to create and customize your own Release of Information Form. Signing up with WPForms gives you access to this and hundreds of other pre-made templates.
