The Release of Information Form is a critical document used in the Netherlands when personal data needs to be shared between organizations or individuals. It serves as a formal authorization mechanism that complies with the EU General Data Protection Regulation (GDPR) and Dutch privacy laws, particularly the UAVG. This document is essential when organizations need to share personal information, whether for medical, educational, professional, or administrative purposes. The form must explicitly detail the scope of information to be shared, the purpose of sharing, the duration of the authorization, and the rights of the data subject. It's particularly important in scenarios involving sensitive personal data, cross-organizational information sharing, or when formal documentation of consent is required for compliance purposes.
Release Of Information Form for the Netherlands
Create a bespoke document in minutes, or upload and review your own.
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Get your first 2 documents free
Your data doesn't train Genie's AI
You keep IP ownership of your information
Key Requirements PROMPT example:
Release Of Information Form
"I need a Release of Information Form for my medical clinic in Amsterdam to share patient records with a specialist hospital, ensuring GDPR compliance and including specific provisions for sharing diagnostic imaging and test results from January 2025 onwards."
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.
OR
1. Data Subject Information: Complete identification details of the person whose information will be released
2. Information Holder Details: Details of the organization/entity currently holding the information
3. Recipient Information: Complete details of the person(s) or organization(s) authorized to receive the information
4. Information to be Released: Specific description of the information/records to be shared, including date ranges if applicable
5. Purpose of Release: Clear statement of the purpose(s) for which the information will be used
6. Duration of Authorization: Specified time period for which the authorization is valid
7. Rights and Revocation: Statement of the data subject's rights including the right to revoke consent
8. Data Protection Notice: GDPR-compliant statement about how the shared information will be protected
9. Consent Declaration: Formal consent statement and signature section
1. Special Categories of Data: Additional provisions when sensitive data (health, religious beliefs, etc.) is involved
2. Third Party Processing: Required when the information will be processed by parties beyond the immediate recipient
3. International Transfer: Required when data will be transferred outside the EU/EEA
4. Emergency Contact Authorization: Optional section authorizing emergency contacts to access information
5. Digital Communication Preferences: Specifications for electronic communication of information when applicable
6. Fee Declaration: Include when there are costs associated with the information release
1. Detailed Information List: Itemized list of specific documents/information to be released
2. Authorized Recipients List: Detailed list when multiple recipients are authorized
3. Processing Activities Description: Detailed description of how the information will be processed
4. Security Measures: Description of security measures for protecting the released information
Authors
