Authorization for Release of Information

An Authorization for Release of Information is a legal document that grants permission for a specific entity to access or share your personal information. Key aspects include:

1. Identifies the individual whose information is to be released

2. Specifies the entity authorized to release the information

3. Names the recipient of the information

4. Details the type of information to be released (e.g., medical, financial, educational)

5. States the purpose for releasing the information

6. Includes an expiration date or event

7. Requires the individual’s signature and date

This document is crucial for maintaining privacy and control over personal data. It’s commonly used in healthcare, financial, and legal settings. The authorization can be broad or limited in scope, depending on the individual’s preferences. It’s important to read and understand the document thoroughly before signing, as it allows access to potentially sensitive information. You have the right to revoke this authorization at any time, typically through written notice to the relevant parties.