Department of Health

Authority to release medical information

Signing this form gives Victoria Police consent to obtain relevant medical records and reports from your treating medical practitioners or hospital to help them investigate an offense resulting from a workplace violence incident. Both police and the employee must keep a copy of the completed form.

Details

Topic
Forms and templates
Date published
21 Nov 2012
Size
1 Page
Author
Department of Health & Human Services
Language
English
Update frequency
Annually
Available format
DOCX

Reviewed 09 September 2015

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