Consent To Disclose Form

Consent To Disclose Form Template for England and Wales

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Key Requirements PROMPT example:

"I need a Consent To Disclose Form for sharing medical records with a research institution, valid from January 2025, with specific restrictions on data usage and a clear withdrawal process for the patient."

Document background

The Consent To Disclose Form is essential in today's data-protection-conscious environment, particularly under the jurisdiction of England and Wales. This document is required whenever personal information needs to be shared with third parties, ensuring compliance with UK GDPR and related data protection legislation. The form explicitly details what information can be shared, with whom, and for what purpose, providing legal protection for all parties involved while respecting individual privacy rights.

Suggested Sections

1. Individual's Details: Full name, contact information, and any relevant identification

2. Information to be Disclosed: Clear description of what information will be shared

3. Purpose of Disclosure: Explanation of why the information is being shared

4. Recipients: Who will receive the information

5. Duration: How long the consent remains valid

6. Declaration: Confirmation of understanding and voluntary consent

Optional Sections

1. Third Party Authorization: Additional section required when consent is given on behalf of another person (e.g., minors or those lacking capacity)

2. Specific Restrictions: Section detailing any limitations on how information can be used when partial or conditional consent is given

3. Withdrawal Process: Details of how to withdraw consent when the right to revoke consent needs to be explicitly documented

Suggested Schedules

1. Identity Verification Documents: Schedule containing copies of identification documents and verification requirements

2. Detailed Information Schedule: Itemized list of specific information to be disclosed, including any categorization or classification

3. Authority Documentation: Schedule containing power of attorney or other authority documents where applicable

Authors

Alex Denne

Head of Growth (Open Source Law) @ ��Ƶ | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

alex.den.21@genieai.co

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Let's create your Consent To Disclose Form

Authors

Alex Denne

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