Authorisation to Release Confidential Information (England and Wales)

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. (continued ...)