Ƶ

Protected Health Information Form for Hong Kong

Protected Health Information Form Template for Hong Kong

A comprehensive legal document designed for use in Hong Kong healthcare settings that governs the collection, use, storage, and sharing of protected health information. This form ensures compliance with Hong Kong's Personal Data (Privacy) Ordinance and relevant healthcare regulations while establishing clear parameters for handling sensitive medical information. It includes detailed consent mechanisms, privacy protections, and patient rights declarations, serving as a crucial document for healthcare providers to maintain legal compliance while protecting patient privacy.

Your data doesn't train Genie's AI

You keep IP ownership of your information

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.

Download a Standard Template

4.6 / 5
4.8 / 5
Access for free
OR

Alternatively: Run an advanced review of an existing
Protected Health Information Form

Let Ƶ's market-leading legal AI identify missing terms, unusual language, compliance issues and more - in just seconds.

What is a Protected Health Information Form?

The Protected Health Information Form is a essential document required by healthcare providers operating in Hong Kong to ensure compliance with the Personal Data (Privacy) Ordinance (Cap. 486) and healthcare-specific regulations. This document is implemented when establishing a new patient relationship or updating existing privacy practices, covering the collection, use, disclosure, and protection of sensitive health information. It serves as both a legal safeguard and a transparent communication tool between healthcare providers and patients, detailing how personal health information will be handled, stored, and potentially shared with third parties. The form must reflect Hong Kong's stringent data privacy requirements while maintaining practical utility for healthcare operations.

What sections should be included in a Protected Health Information Form?

1. Personal Information: Section for collecting basic identifying information about the patient, including name, ID number, contact details, and emergency contact information

2. Purpose of Collection: Clear explanation of why the health information is being collected and how it will be used, including primary and secondary purposes

3. Types of Information Collected: Detailed list of the categories of health information that will be collected and maintained

4. Consent Declaration: Explicit consent statements for the collection, use, and sharing of health information, with clear options for the patient to indicate their choices

5. Information Sharing: Description of circumstances under which the information may be shared, and the types of third parties who may receive the information

6. Data Protection Measures: Overview of security measures and safeguards in place to protect the patient's health information

7. Patient Rights: Explanation of the patient's rights regarding their health information, including access, correction, and withdrawal of consent

8. Contact Information: Details of who to contact for questions about the form or to exercise rights regarding personal health information

What sections are optional to include in a Protected Health Information Form?

1. Special Categories Consent: Additional consent section for sensitive medical conditions or treatments that require special handling (only included if relevant to the healthcare provider's services)

2. Research Participation: Optional section for consent to use health information in medical research or studies (included only if the institution conducts research)

3. Electronic Communication Consent: Optional section for consent to receive health information and communications via electronic means (included if electronic communication services are offered)

4. Cross-border Data Transfer: Section required only if health information may be transferred outside of Hong Kong

5. Photography and Recording Consent: Optional section for consent to take and use medical photographs or recordings (included only if relevant to the medical service)

What schedules should be included in a Protected Health Information Form?

1. Schedule 1: Detailed Categories of Health Information: Comprehensive list of all types of health information that may be collected, including medical history, test results, treatments, and medications

2. Schedule 2: Authorized Third Parties: List of specific healthcare providers, institutions, or other parties with whom information may be shared

3. Schedule 3: Privacy Policy Summary: Summary of the organization's privacy policy as it relates to health information

4. Appendix A: Patient Rights Guide: Detailed guide explaining all patient rights regarding their health information and how to exercise them

5. Appendix B: Security Measures: Detailed description of technical and organizational measures in place to protect health information

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

Jurisdiction

Hong Kong

Publisher

Ƶ

Document Type

Trust Deed

Cost

Free to use
Relevant legal definitions






































Clauses
























Relevant Industries

Healthcare

Medical Services

Hospital Administration

Clinical Research

Healthcare Technology

Insurance

Pharmaceutical

Biotechnology

Elder Care

Mental Health Services

Rehabilitation Services

Diagnostic Services

Relevant Teams

Legal

Compliance

Privacy

Medical Records

Patient Administration

Information Security

Risk Management

Quality Assurance

Clinical Operations

Patient Relations

Relevant Roles

Medical Director

Chief Medical Officer

Privacy Officer

Data Protection Officer

Healthcare Administrator

Compliance Manager

Legal Counsel

Medical Records Manager

Clinical Director

Practice Manager

Quality Assurance Manager

Information Security Officer

Patient Relations Manager

Risk Management Officer

Healthcare Operations Manager

Industries





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

Find the exact document you need

Irrevocable Documentary Letter Of Credit

A bank-issued payment guarantee document governed by Hong Kong law, providing secure payment in international trade transactions.

Download

Bare Licence To Occupy

A Hong Kong law-governed agreement granting non-exclusive permission to occupy premises without creating a leasehold interest.

Download

Declaration Of Trust Property

A Hong Kong law-governed document establishing a trust arrangement over property, specifying trustee duties and beneficiary rights.

Download

Registered Sale Deed

A legal document registered with the Hong Kong Land Registry that formally transfers property ownership from seller to buyer under Hong Kong property law.

Download

Declaration Of Authorization

A Hong Kong legal document that formally authorizes one party to act on behalf of another, governed by the Powers of Attorney Ordinance.

Download

Revised Offer Letter

A Hong Kong-compliant document that formally updates existing employment terms and conditions between an employer and employee.

Download

Protected Health Information Form

A Hong Kong-compliant form for managing protected health information collection, use, and sharing under local privacy laws.

Download

Note Agreement

A Hong Kong law-governed agreement establishing terms for the issuance and payment of a promissory note, including payment terms, interest, and security arrangements.

Download

Life Estate Deed

A Hong Kong law-governed deed creating a life interest in property for one party while securing future ownership rights for designated beneficiaries.

Download

Land Purchase Offer Letter

A Hong Kong law-governed formal offer letter outlining terms and conditions for purchasing land or property, serving as the initial step in property acquisition.

Download

Promissory Note Sale Agreement

A Hong Kong law-governed agreement for the sale and transfer of promissory notes, including terms of sale, representations, and transfer mechanics.

Download

Joint Tenancy Trust Agreement

A Hong Kong law-governed agreement establishing a trust arrangement for property held in joint tenancy, defining rights, obligations, and management procedures.

Download

Joint Tenancy Deed

A Hong Kong law-governed deed establishing joint ownership rights and obligations between multiple property owners, including survivorship rights and management arrangements.

Download

Revocable Deed

A formal Hong Kong law-governed deed that creates or transfers rights while maintaining revocation rights for the grantor.

Download

Life Insurance Trust Deed

A Hong Kong law-governed deed establishing a trust structure for holding and managing life insurance policies, defining trustee powers and beneficiary rights.

Download

Declaration Of Trust Nominee Shareholder

A Hong Kong law-governed document establishing a trust relationship where a nominee shareholder holds shares on behalf of a beneficial owner, detailing their respective rights and obligations.

Download

Deed Of Trust Loan Agreement

A Hong Kong law-governed instrument establishing a trust structure for managing loan assets, combining trust deed elements with loan agreement provisions.

Download

Trust Loan Agreement

A Hong Kong law-governed agreement establishing terms for a loan managed through a trust structure, defining trustee, borrower, and beneficiary rights and obligations.

Download

Declaration Of Trust Agreement

A Hong Kong-governed legal document establishing a trust arrangement, defining the transfer of assets from settlor to trustee for beneficiaries' benefit.

Download

Irrevocable Deed

A binding legal document under Hong Kong law creating permanent, irrevocable obligations between parties, requiring formal execution and witnessing.

Download

Deed Of Agreement For Sale Of Land

A deed governed by Hong Kong law that formalizes the sale and purchase of land, detailing terms, conditions, and obligations of all parties involved.

Download

Declaration Of Trust For Shares

A Hong Kong law-governed document establishing a trust arrangement where shares are held by a trustee for specified beneficiaries.

Download

Irrevocable And Unconditional Bank Guarantee

A Hong Kong law-governed bank guarantee providing unconditional payment commitment from a bank to a beneficiary upon demand.

Download

Master Transfer Agreement

A Hong Kong law-governed framework agreement establishing terms for multiple transfers of assets, rights, or properties between parties.

Download

Property Transfer Agreement

A legal document governed by Hong Kong law that facilitates the transfer of real property ownership between parties, detailing all terms and conditions of the transfer.

Download

Security Trust Agreement

A Hong Kong law-governed agreement establishing a trust structure for holding and managing security interests on behalf of multiple beneficiaries.

Download

Family Settlement Agreement

A Hong Kong law-governed agreement that formalizes arrangements between family members regarding assets, responsibilities, and obligations.

Download

Deed Of Conveyance And Deed Of Assignment

A legal instrument used in Hong Kong to transfer both legal and beneficial ownership rights in real property, complying with Hong Kong property law requirements and registration procedures.

Download
See more related templates

ұԾ’s Security Promise

Genie is the safest place to draft. Here’s how we prioritise your privacy and security.

Your documents are private:

We do not train on your data; ұԾ’s AI improves independently

All data stored on Genie is private to your organisation

Your documents are protected:

Your documents are protected by ultra-secure 256-bit encryption

We are ISO27001 certified, so your data is secure

Organizational security:

You retain IP ownership of your documents and their information

You have full control over your data and who gets to see it