The Model Consent Form serves as a crucial document for organizations operating in the Philippines that collect and process personal data. This template has been developed to ensure compliance with the Data Privacy Act of 2012 and its implementing rules, while providing a flexible framework that can be customized for various purposes. The Model Consent Form is essential for documenting explicit, informed consent from data subjects, covering aspects such as data collection purposes, processing methods, storage duration, and data subject rights. It is particularly relevant in light of increased regulatory scrutiny and the need for transparent data handling practices. Organizations can use this template as a starting point for creating specific consent forms tailored to their operations while maintaining compliance with Philippine privacy laws.
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1. Title and Date: Clear identification of the document as a consent form and the date of execution
2. Parties: Identification of the Data Controller (organization collecting data) and the Data Subject (individual providing consent)
3. Purpose Declaration: Clear statement of the specific purpose(s) for which personal data will be collected and processed
4. Data Collection Details: Specific list of personal data to be collected and processed
5. Processing Information: Description of how the personal data will be processed, stored, and protected
6. Rights of the Data Subject: Clear explanation of the data subject's rights under the Data Privacy Act
7. Duration of Processing: Time period for which the personal data will be processed and retained
8. Consent Declaration: Clear, specific statement of consent that the data subject will sign
9. Withdrawal of Consent: Information on how to withdraw consent and the consequences of withdrawal
10. Signatures: Space for signatures of all parties and witnesses if required
1. Medical Treatment Consent: Additional section for healthcare-related consent forms, including specific medical procedures or treatments
2. Research Participation: For research studies, including details about the research process, risks, and benefits
3. Marketing Communications: Optional section for consent to receive marketing materials and communications
4. Third-Party Disclosure: Details about sharing data with third parties, if applicable
5. International Data Transfers: Information about cross-border data transfers, if relevant
6. Photography/Media Release: Consent for use of photographs, videos, or other media
7. Emergency Contact Authorization: Authorization to contact designated persons in emergency situations
1. Schedule A - Detailed Data Processing Activities: Comprehensive list of all data processing activities and purposes
2. Schedule B - Privacy Policy: Full privacy policy or reference to where it can be accessed
3. Schedule C - Security Measures: Detailed description of security measures implemented to protect personal data
4. Appendix 1 - Glossary of Terms: Definitions of technical or legal terms used in the consent form
Relevant legal definitions
Clauses
Relevant Industries
Healthcare
Education
Financial Services
Technology
Research and Development
Retail
Professional Services
Marketing and Advertising
Human Resources
Tourism and Hospitality
Manufacturing
Non-profit Organizations
Government Services
Insurance
Relevant Teams
Legal
Compliance
Human Resources
Information Technology
Data Protection
Marketing
Operations
Customer Service
Research and Development
Information Security
Risk Management
Clinical Operations
Privacy
Administrative
Relevant Roles
Data Protection Officer
Privacy Officer
Compliance Manager
Legal Counsel
HR Manager
IT Security Manager
Marketing Director
Research Coordinator
Medical Director
Operations Manager
Risk Manager
Customer Service Manager
Project Manager
Information Security Officer
Database Administrator
Chief Privacy Officer
Recruitment Manager
Clinical Trial Coordinator
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