Consent To Release Personal Information Form Template for United Arab Emirates

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Key Requirements PROMPT example:

Consent To Release Personal Information Form

"I need a Consent To Release Personal Information Form for our Dubai-based healthcare clinic to share patient medical records with affiliated hospitals and insurance providers, ensuring compliance with UAE healthcare data protection requirements and including provisions for handling sensitive medical data."

Document background

The Consent To Release Personal Information Form is a critical document required under UAE data protection law, specifically Federal Decree-Law No. 45 of 2021, whenever organizations need to collect, process, or share personal information. This document is essential for establishing a legal basis for data processing activities and demonstrating compliance with UAE privacy regulations. It should be used whenever personal information needs to be shared with third parties, processed for new purposes, or when handling sensitive data categories. The form includes detailed information about the types of data being collected, the purpose of processing, recipient details, and the data subject's rights. It is particularly important in sectors handling sensitive personal information and where data sharing is routine, such as healthcare, financial services, and government entities.

Suggested Sections

1. Data Subject Information: Full identification details of the individual whose personal information will be released, including name, Emirates ID, contact details

2. Data Controller Information: Details of the organization/entity requesting and managing the release of personal information

3. Purpose of Release: Clear explanation of why the personal information is being released and how it will be used

4. Types of Information: Specific categories of personal information to be released

5. Duration: Period for which the consent remains valid

6. Recipients: Identity of parties who will receive and process the personal information

7. Data Subject Rights: Statement of rights under UAE law including right to withdraw consent and access data

8. Declaration and Signature: Formal consent statement and signature blocks for all required parties

Optional Sections

1. International Transfer: Required when personal data will be transferred outside the UAE, detailing the receiving countries and safeguards in place

2. Sensitive Data Processing: Additional declarations required when processing sensitive personal data such as health information, criminal records, or biometric data

3. Third Party Authorization: Required when consent is given by a legal representative or guardian on behalf of the data subject

4. Specific Processing Activities: Detailed description of specific processing activities when complex or multiple processing operations are involved

5. Data Protection Officer Details: Contact information for the Data Protection Officer, if applicable

Suggested Schedules

1. Schedule 1 - Detailed Data Categories: Comprehensive list of specific personal data categories to be released

2. Schedule 2 - Authorized Recipients: List of all third parties authorized to receive the personal information

3. Schedule 3 - Processing Activities: Detailed description of all processing activities to be performed on the personal data

4. Appendix A - Privacy Notice: Copy of the organization's privacy notice or relevant privacy policies

Authors

Alex Denne

Head of Growth (Open Source Law) @ Genie AI | 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

Real Estate

Insurance

Telecommunications

Retail

Human Resources

Professional Services

Government Services

Technology

Hospitality

Relevant Teams

Legal

Compliance

Human Resources

Information Technology

Data Protection

Risk Management

Operations

Customer Service

Information Security

Records Management

Privacy

Relevant Roles

Data Protection Officer

Privacy Manager

Compliance Officer

Legal Counsel

HR Manager

Information Security Manager

Risk Manager

Operations Manager

Customer Service Manager

IT Director

Chief Privacy Officer

Chief Compliance Officer

Records Manager

Database Administrator

Healthcare Administrator

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