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Consent To Disclose Personal Information Form Template for England and Wales

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Key Requirements PROMPT example:

Consent To Disclose Personal Information Form

"I need a Consent To Disclose Personal Information Form for my medical practice to share patient records with a specialist research facility, ensuring compliance with special category data requirements and including an option for patients to withdraw consent by March 2025."

Document background
The Consent To Disclose Personal Information Form is essential for organizations operating under English and Welsh law who need to share personal data with third parties. This document ensures compliance with UK GDPR and the Data Protection Act 2018, providing a clear record of informed consent. It's particularly important when sharing sensitive personal data or when regular information sharing is required between organizations. The form should clearly state what information will be shared, with whom, for what purpose, and for how long, while also informing individuals of their right to withdraw consent at any time.
Suggested Sections

1. Individual's Details: Full name, contact information, and any relevant identification details of the person giving consent

2. Purpose of Disclosure: Clear explanation of why the information is being disclosed and how it will be used

3. Information to be Disclosed: Specific details of what personal information will be shared

4. Recipients: Identity of organizations/individuals who will receive the information

5. Duration: How long the consent remains valid

6. Withdrawal Rights: Information about the right to withdraw consent and how to do so

7. Declaration: Formal statement of consent and signature section

Optional Sections

1. Special Category Data: Additional declarations for sensitive personal data, used when disclosing health, racial, religious, or similar sensitive data

2. Third Party Authority: Used when consent is given by someone with authority to act on behalf of the data subject

3. International Transfers: Required when data will be transferred outside the UK

Suggested Schedules

1. Privacy Notice: Detailed information about how the personal data will be processed

2. List of Third Parties: Comprehensive list of all organizations who may receive the information, if multiple recipients

3. Data Categories: Detailed breakdown of specific data fields to be shared, if extensive

Authors

Alex Denne

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

Relevant legal definitions
























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UK GDPR: UK General Data Protection Regulation - Primary legislation governing personal data processing and protection in the UK post-Brexit

DPA 2018: Data Protection Act 2018 - The UK's implementation of data protection legislation that works alongside UK GDPR

Human Rights Act 1998: Specifically Article 8 which enshrines the right to privacy and protection of personal information

PECR 2003: Privacy and Electronic Communications Regulations - Specific rules for electronic communications, marketing, and cookies

Common Law Duty of Confidentiality: Legal obligation to keep personal information confidential when disclosed in circumstances implying confidentiality

Freedom of Information Act 2000: Relevant when disclosure involves public authorities and their handling of personal information

ICO Guidelines on Consent: Official guidance from the Information Commissioner's Office on obtaining valid consent for data processing

Valid Consent Requirements: Must be freely given, specific, informed, unambiguous, with active opt-in, and easily withdrawable

Special Category Data Requirements: Additional protection requirements for sensitive personal data such as health, racial, religious, or biometric information

Age Verification Requirements: Specific considerations and verification needed when collecting data from minors

Record-Keeping Requirements: Obligations to maintain records of consent, including when and how it was obtained, and any withdrawals

Teams

Employer, Employee, Start Date, Job Title, Department, Location, Probationary Period, Notice Period, Salary, Overtime, Vacation Pay, Statutory Holidays, Benefits, Bonus, Expenses, Working Hours, Rest Breaks,  Leaves of Absence, Confidentiality, Intellectual Property, Non-Solicitation, Non-Competition, Code of Conduct, Termination,  Severance Pay, Governing Law, Entire Agreemen

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