An Information Release Form is required to make public someone’s personal records. In case of research subjects the form is mandatory before the results of the research are made public.
The subject gives permission for releasing of his personal details, medical history, test results concerning him and any such relevant topic.
You can Download the Information Release Form Template, customize it according to your needs, and Print it. Information Release Form Template is either in MS Word or Editable PDF.
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Features:
Authorization:
Specifies the individual or entity authorizing the release of information.
Information to Be Released:
Indicates the specific information that is authorized for release.
Purpose of Release:
States the stated purpose for which the information used.
Duration of Consent:
Specifies the duration of the consent for the release of information.
Privacy Rights:
Informs the individual that their records are protected under federal law and that they have the right to revoke the agreement at any time.
Confidentiality:
Specifies that certain information not disclosed without written consent.
Limited Use:
States that the information used for the specified purpose and used for any other purpose.
Expiration Date:
Indicates the expiration date of the consent.
Signatures:
Requires the signatures of the individual authorizing the release, as well as two witnesses.
Benefits:
Standardization:
The template provides a structured format for information releases, ensuring consistency across documents and making it easier for individuals to understand and also provide consent.
Clarity:
The template ensures that all necessary information is included and presented in a clear and also organized manner, minimizing misunderstandings.
Legal Compliance:
An information release can also help ensure compliance with privacy and also data protection laws.
Record Keeping:
The signed form serves as a valuable record of the consent given, which can be important for future reference and legal purposes.
Efficiency:
Using a template saves time compared to creating an information release form from scratch.
