Client Consent To Release Information Form

Client Consent To Release Information Form Template for Singapore

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Key Requirements PROMPT example:

"I need a Client Consent To Release Information Form for my medical clinic in Singapore to share patient records with a specialist hospital, ensuring PDPA compliance and including specific provisions for sensitive health data transfer."

Document background

The Client Consent To Release Information Form is essential for organizations operating in Singapore that need to share client information with third parties while maintaining compliance with the PDPA and other relevant regulations. This document is particularly important given Singapore's strict data protection requirements and the need for explicit, informed consent before any personal information can be shared. The form should clearly specify the scope of information to be shared, intended recipients, purpose of sharing, and duration of consent validity.

Suggested Sections

1. Client Information: Basic identification and contact details of the client including name, address, contact number, and any reference numbers

2. Purpose of Disclosure: Clear statement explaining why the information needs to be shared and how it will be used

3. Information to be Released: Specific description of what information will be shared, including categories and time periods covered

4. Recipients of Information: Identity and details of parties who will receive the information, including their role and purpose

5. Duration and Validity: Period for which the consent remains valid and any expiration conditions

6. Client Declaration: Formal declaration of understanding and agreement to information release

Optional Sections

1. Third Party Authorization: Section for authorizing other individuals to act on client's behalf regarding information management

2. International Transfer Consent: Specific consent for cross-border data transfer and associated safeguards

3. Withdrawal Rights: Detailed process and implications of withdrawing consent

4. Electronic Communications Consent: Specific consent for receiving and sending information electronically

Suggested Schedules

1. Schedule A - Authorized Recipients List: Comprehensive list of all authorized recipients with their details and purposes

2. Schedule B - Information Categories: Detailed categorization of information types to be shared

3. Schedule C - Privacy Policy Reference: Reference to organization's privacy policy and relevant PDPA compliance measures

4. Schedule D - Consent Withdrawal Form: Template form for future withdrawal of consent if needed

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

alex.den.21@genieai.co

Relevant legal definitions

Clauses

Relevant Industries

Healthcare
Financial Services
Education
Professional Services
Insurance

Relevant Teams

Legal
Compliance
Data Protection
Customer Service
Records Management

Relevant Roles

Data Protection Officer
Compliance Manager
Privacy Officer
Legal Counsel
Customer Service Manager

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Let's create your Client Consent To Release Information Form

Authors

Alex Denne

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