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1. Parties: Identifies the client giving authorization (the 'Authorizing Party'), the organization receiving the authorization (the 'Holder'), and the third party/parties authorized to receive the information (the 'Recipient(s)')
2. Background: Brief context explaining why the authorization is needed and the relationship between the parties
3. Definitions: Clear definitions of key terms used in the authorization, including types of information being released
4. Scope of Authorization: Detailed description of what information is authorized for release, including specific categories or documents
5. Purpose of Disclosure: Clear statement of the specific purpose(s) for which the information may be used by the recipient
6. Duration of Authorization: Specific timeframe for which the authorization is valid
7. Privacy and Confidentiality: Statement regarding ongoing privacy obligations and handling of the released information
8. Revocation Rights: Client's right to withdraw authorization and the process for doing so
9. Execution: Signature block and date of authorization
1. Special Conditions: Any specific conditions or restrictions on the use of the information - include when there are special handling requirements
2. Secondary Recipients: Section addressing whether authorized recipients can share information with others - include when information might need to be shared beyond primary recipient
3. Electronic Communication Consent: Authorization for electronic transmission of information - include when information will be shared electronically
4. Emergency Contact: Alternative contact details for urgent matters - include when dealing with sensitive or time-critical information
5. Fees and Charges: Any costs associated with the information release - include when applicable charges exist for information processing
1. Schedule 1 - Information Details: Detailed list of specific information/documents authorized for release
2. Schedule 2 - Authorized Recipients: Complete list of authorized third-party recipients and their contact details
3. Schedule 3 - Security Requirements: Specific security protocols for handling and transmitting the information
4. Appendix A - Consent Withdrawal Form: Template form for withdrawing authorization if needed
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Telecommunications
Employment Services
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Risk Management
Client Services
Operations
Information Security
Records Management
Administrative Services
Data Protection
Customer Relations
Privacy
Information Technology
Clinical Administration
Account Management
Privacy Officer
Compliance Manager
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Data Protection Officer
Risk Manager
Client Services Manager
Operations Manager
Records Manager
Information Security Officer
Healthcare Administrator
Financial Advisor
Account Manager
Human Resources Manager
Practice Manager
Administrative Coordinator
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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


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