The Client Consent Form is a crucial document required in New Zealand for businesses and practitioners providing services that require explicit client consent. It serves multiple purposes: documenting informed consent, protecting both service providers and clients, and ensuring compliance with New Zealand's Privacy Act 2020 and other relevant legislation. The form should be used before commencing any service where client consent is required, particularly in healthcare, professional services, or personal services. It typically includes details about the service provider, client information, service description, risks and benefits, privacy statements, and consent declarations. The document must be written in clear, understandable language and may need to be available in multiple languages to ensure accessibility for all clients in New Zealand's diverse population.
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1. Client Information: Details of the client including full name, contact information, and any relevant identification numbers
2. Service Provider Information: Details of the organization/practitioner providing the service, including registration numbers if applicable
3. Service Description: Clear description of the service(s) for which consent is being sought
4. Consent Declaration: Explicit statement of what the client is consenting to, including acknowledgment of risks and benefits
5. Privacy Statement: How personal information will be collected, used, stored, and shared, in compliance with the Privacy Act 2020
6. Right to Withdraw Consent: Information about the client's right to withdraw consent and the process for doing so
7. Signature Block: Space for client signature, date, and witness signature if required
1. Health Information Handling: Required when the service involves collection or use of health information, ensuring compliance with the Health Information Privacy Code
2. Third Party Information Sharing: Include when service delivery requires sharing information with other providers or agencies
3. Emergency Contact Details: Include for services that may involve health risks or emergency situations
4. Interpreter Declaration: Required when the client needs an interpreter to understand the consent form
5. Payment Information: Include when the service involves fees or charges
6. Digital Communication Consent: Include when service involves electronic communication or telehealth services
1. Schedule 1: Detailed Service Description: Detailed breakdown of specific services, procedures, or treatments being consented to
2. Schedule 2: Risks and Benefits: Comprehensive list of potential risks and benefits associated with the service
3. Schedule 3: Fee Schedule: If applicable, detailed breakdown of fees and charges associated with the service
4. Appendix A: Privacy Policy: Detailed privacy policy explaining how personal information is handled
5. Appendix B: Client Rights: Detailed explanation of client rights and complaints procedures
Relevant legal definitions
Clauses
Relevant Industries
Healthcare
Mental Health Services
Professional Services
Education
Personal Services
Financial Services
Legal Services
Beauty and Wellness
Allied Health Services
Research and Clinical Trials
Social Services
Therapy Services
Relevant Teams
Legal
Compliance
Clinical Operations
Client Services
Risk Management
Quality Assurance
Operations
Administrative Support
Privacy
Customer Relations
Relevant Roles
Healthcare Provider
Medical Practitioner
Therapist
Counselor
Legal Professional
Practice Manager
Compliance Officer
Privacy Officer
Clinical Director
Service Coordinator
Professional Services Provider
Research Coordinator
Client Services Manager
Risk Manager
Quality Assurance Manager
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