Authorisation to Release Confidential Information

This Authorisation to Release Confidential Information will ensure that only the information you specify is released on your behalf. This authorisation can be given to a physician, attorney, hospital, clinic or school to release confidential information on your behalf. The types of confidential information to be released can vary from financial, educational and legal to your social interactions, both online and in person. This Authorisation is beneficial because it protects your privacy, contains an expiration date and can be revoked at any time. (continued ...)