Authorisation to Release Confidential Information (England and Wales)

This Authorisation to Release Confidential Information is designed for use in England and Wales. This legal form is available for immediate download.

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This Authorisation to Release Confidential Information will ensure that only specified information is released on your behalf. This authorisation can be provided to a physician, attorney, hospital, clinic or school. The confidential information to be released may vary from financial, educational and legal to your social interactions, both online and in person. This Authorisation is beneficial because it protects not only your privacy but contains an expiration date and can be revoked at any time.

These important provisions are included in this Authorisation:
  • Authorisation Information: Indicates the name and address of the individual authorising release of the information and the individual or entity who will release the confidential information;
  • Types of Confidential Information: Sets forth a checklist covering most types of confidential information;
  • Purpose of Use: Outlines the purposes the confidential information may be used for;
  • Revocation and Expiration Dates: This Authorisation may be revoked at any time or on a specified expiration date.

Protect yourself and your rights by using our professionally prepared up-to-date forms.

This lawyer prepared packet includes:
  1. General Information
  2. Instructions and Checklist
  3. Authorisation to Release Confidential Information for England and Wales
Law Compliance: This form complies with the laws of England and Wales
This is the content of the form and is provided for your convenience. It is not necessarily what the actual form looks like and does not include the information, instructions and other materials that come with the form you would purchase. An actual sample can also be viewed by clicking on the "Sample Form" near the top left of this page.
Number of Pages6
DimensionsDesigned for Letter Size (8.5" x 11")
EditableYes (.doc, .wpd and .rtf)
UsageUnlimited number of prints
Product number#34869
This is the content of the form and is provided for your convenience. It is not necessarily what the actual form looks like and does not include the information, instructions and other materials that come with the form you would purchase. An actual sample can also be viewed by clicking on the "Sample Form" near the top left of this page.

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