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
Downloads
Authority to release medical information
Reviewed 09 September 2015