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General Consent To Release Information Form Template for England and Wales

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Key Requirements PROMPT example:

General Consent To Release Information Form

"I need a General Consent To Release Information Form for a healthcare organization to share my medical records with three specialist clinics in London, with the consent valid from March 2025 to December 2025."

Document background
The General Consent To Release Information Form is essential in situations where personal data needs to be shared between organizations or individuals in England and Wales. This document ensures compliance with data protection legislation, particularly the UK GDPR and Data Protection Act 2018. It's commonly used in healthcare, education, financial services, and other sectors where sensitive personal information needs to be shared. The form typically includes details of the information to be released, the purpose of disclosure, intended recipients, and duration of consent, while incorporating necessary safeguards for data protection.
Suggested Sections

1. Individual's Details: Personal information of the person giving consent, including full name, address, contact details, and any relevant identification numbers

2. Information to be Released: Specific details and nature of the information authorized for release, including time period covered and format of information

3. Purpose of Release: Clear explanation of why the information is being shared and how it will be used by the recipients

4. Recipients: Identity and details of individuals or organizations authorized to receive the information

5. Duration: Validity period of the consent, including start date and expiration date if applicable

6. Signature Block: Space for signature, printed name, date, and witness details if required

Optional Sections

1. Special Category Data Consent: Additional explicit consent section for sensitive personal data such as health records, religious beliefs, or biometric data

2. Third Party Authorization: Section for cases where consent is given by a representative, including details of their authority to act

3. Withdrawal Rights: Information about the right to withdraw consent and the process for doing so

Suggested Schedules

1. Schedule of Information: Detailed itemized list of specific information to be released, including formats and time periods

2. Schedule of Recipients: Comprehensive list of authorized recipients with their full contact details and roles

3. Privacy Notice: Detailed information about data protection measures, processing activities, and rights under GDPR

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




















Clauses




















Relevant Industries
Relevant Teams
Relevant Roles
Industries

UK General Data Protection Regulation (UK GDPR): Key data protection legislation covering principles of data processing, lawful basis for processing, individual rights, and requirements for valid consent

Data Protection Act 2018: UK implementation of GDPR including specific provisions for data processing and special category data handling

Common Law Duty of Confidentiality: Legal obligation covering professional obligations, doctor-patient confidentiality, and lawyer-client privilege where applicable

Access to Health Records Act 1990: Legislation governing access to medical information and rights of access to deceased persons' records

Freedom of Information Act 2000: Legislation concerning public authorities and public right of access to information

Mental Capacity Act 2005: Law governing capacity to consent and requirements for valid consent from representatives for those lacking capacity

Human Rights Act 1998: Legislation incorporating Article 8 (right to privacy) and balancing privacy rights with disclosure

Age-appropriate consent considerations: Legal requirements regarding children's capacity to consent and parental consent requirements

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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