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General Practitioner Form

Release of Medical Information Form

A downloadable General Practitioner form for healthcare professionals.
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Specialty

General Practitioner

Downloads

0 times

Type

Form

Last edited

7/21/2026

Created by

Heidi Team

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About this form

Simplify the secure sharing of health records with Heidi by automatically completing the Release of Medical Information Form during administrative or clinical workflows. Designed to authorise the disclosure of medical information, this form enables patients to specify who may receive their medical clearance reports, laboratory results, and other health information, as well as the approved methods of communication, including in person, telephone, fax, or email. It also documents the patient’s understanding of privacy, confidentiality, voluntary consent, electronic communication risks, the ability to revoke consent, release expiration dates, and any reaffirmation or extension of the authorisation. By organising consent and disclosure details into a structured record, Heidi helps clinicians and administrative teams complete documentation efficiently, support regulatory compliance, and facilitate secure, patient-authorised exchange of medical information.

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How to use this form

1

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Click "Auto-fill Form with Heidi" to open the form in Heidi and complete the fields straight from your note, no copying and pasting.

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Review and edit

Check the pre-filled details and make any changes before finalising the form.

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Download or save

Download the completed form or save it directly into your patient records and workflows.

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