Form · Personal Injury & Compensation
Authority for a treating practitioner to release clinical records
Signed authority for one treating practitioner to release named clinical records for a named period, with a separate tick for counselling or mental-health records and a short covering letter. It is not a statutory declaration.
- Kind
- Form. A form to complete, or a guide to completing an official one.
- Where it applies
- Victoria, Queensland, New South Wales
- AI use
- Yellow You and the tool draft together, with you directing. You check every statement you rely on.
- Law stated as at
- 23 October 2026
- Status
- Maintained. Checked on 23 October 2026 against the 5 authorities it cites, for Victoria, Queensland and New South Wales.
- Version
- 1
- Source
- Written for this library
When to use it
Use for a general practitioner, specialist or allied-health practitioner the client has named. Use one authority for each practitioner. If the practitioner requires their own form, use that form and keep this authority on the file as the client's instructions. Do not use it for a hospital's full record.
Used for these tasks
- Build a medical chronology from the record set
- Find gaps and duplicates in a medical-record set
- Build a PI medical chronology with AI
Each task page says how far AI may help with the task and what the lawyer must review.
How AI may be used
The tool may fill the practitioner, the period and the ticked record types from the intake, and the lawyer checks the consent before the letter is sent.
AI may
- Fill one authority for each practitioner named in the intake
- Leave the mental-health tick blank unless the client has agreed to that request
- Prepare the covering letter with the secure address the firm uses for health records
AI must not
- Must not request counselling or mental-health records unless that box is ticked by the client
- Must not widen the period beyond the dates the client has agreed
- Must not put the records into a public or unapproved tool
The lawyer checks
- The client knows which practitioner will be asked, for which years, and whether mental-health records are included
- The request matches the claim. Pre-injury records are included only for the period the lawyer has explained
- In New South Wales, the IPC fact sheet (May 2026) says access should be without unreasonable delay or expense, and private providers should also be checked against HRIP Act ss 26 to 32. Health information stays in the approved system (APP 11; ASCR r 9)
Method: how the Green, Yellow and Red levels are decided. This is guidance for planning, not legal advice.
Read the full text
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- read the whole precedent, with its drafting notes beside it;
- copy it, or download it as a Word file or Markdown;
- add it to your firm’s knowledge base, so colleagues can find it;
- let the AI tools you connect read it from that knowledge base.
The summary, the law it rests on and the AI-use guidance above stay public. Privacy.
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All precedents for Personal Injury & Compensation · Tasks and AI use in this area