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Release Authorization
1. Authorizing Party Details: Full legal name, address, and identification details of the person/entity giving the authorization
2. Recipient Details: Full legal name, address, and role/capacity of the person/entity receiving the authorization to access information
3. Purpose of Authorization: Clear statement of the specific purpose for which the information is being released
4. Scope of Authorization: Detailed description of exactly what information/documents are authorized for release
5. Duration and Expiry: Specific timeframe for which the authorization is valid, including start and end dates
6. Data Protection Statement: Reference to GDPR compliance and Danish Data Protection Act requirements
7. Revocation Rights: Statement of the right to withdraw authorization and the process for doing so
8. Execution: Date and signature fields for the authorizing party
1. Medical Information Specific Terms: Additional provisions required when releasing medical information under the Danish Health Act
2. Third Party Authorization: Required when allowing the recipient to further share the information with specified third parties
3. Special Categories of Data: Additional provisions for sensitive personal data under GDPR Article 9
4. Translation Declaration: Required when the authorization needs to be valid in multiple languages
5. Emergency Contact: Details of emergency contact person who can act on behalf of the authorizing party if needed
1. Schedule A - Document List: Detailed list of specific documents or information covered by the authorization
2. Schedule B - Authorized Recipients: List of specific individuals or roles authorized to access the information when multiple recipients are involved
3. Schedule C - Processing Activities: Description of allowed processing activities and handling requirements for the released information
4. Appendix 1 - ID Verification: Copies of identification documents used to verify the authorizing party's identity
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