General Consent To Release Information Form Template for United Arab Emirates

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Key Requirements PROMPT example:

General Consent To Release Information Form

"I need a General Consent To Release Information Form for a Dubai-based healthcare facility to share patient medical records with international research institutions, ensuring compliance with UAE healthcare data regulations and including provisions for data transfer outside the UAE."

Document background

The General Consent To Release Information Form is a critical document used in the United Arab Emirates when an individual's personal information needs to be shared between organizations or entities. This document is essential for compliance with UAE's data protection framework, particularly Federal Decree Law No. 45 of 2021 and related regulations. It is commonly used in situations requiring the transfer of personal data, medical records, employment information, or financial details. The form ensures that information sharing is conducted legally and transparently, with proper documentation of the data subject's explicit consent. It includes specific provisions required by UAE law regarding data protection, privacy rights, and information security measures, while also addressing any relevant sector-specific requirements that may apply to the particular type of information being shared.

Suggested Sections

1. Identifying Information: Details of the person giving consent (the data subject) including full legal name, Emirates ID number, contact information, and any relevant reference numbers

2. Information Holder Details: Details of the organization/entity currently holding the information

3. Recipient Details: Information about the person(s) or organization(s) authorized to receive the information

4. Scope of Information: Detailed description of the specific information authorized for release

5. Purpose of Disclosure: Clear statement of why the information is being released and how it will be used

6. Duration of Consent: Specific time period for which the consent remains valid

7. Rights and Revocation: Statement of the data subject's rights including the right to revoke consent and the process for doing so

8. Data Protection Statement: Statement about how the information will be protected and handled in accordance with UAE data protection laws

9. Declarations: Formal statements confirming understanding and voluntary nature of consent

10. Execution: Signature blocks for all relevant parties, including witness if required

Optional Sections

1. Special Categories of Data: Additional provisions required when dealing with sensitive personal data such as health records, financial information, or criminal records

2. Third Party Authorizations: Required when consent is given by a legal guardian, power of attorney holder, or other authorized representative

3. International Transfer Provisions: Required when information may be transferred outside the UAE

4. Regulatory Compliance: Specific provisions required for regulated industries (healthcare, financial services, etc.)

5. Arabic Translation Declaration: Statement confirming accuracy of Arabic translation when document is bilingual

6. Emergency Disclosure Provisions: Optional section detailing circumstances under which information may be disclosed in emergencies

Suggested Schedules

1. Schedule 1 - Detailed Information List: Itemized list of specific documents, records, or information covered by the consent

2. Schedule 2 - Authorized Recipients: Detailed list of all authorized recipients and their contact information when multiple recipients are involved

3. Schedule 3 - Processing Activities: Detailed description of how the information will be processed, stored, and protected by recipients

4. Appendix A - Revocation Form: Standard form for revoking consent

5. Appendix B - Proof of Identity Requirements: List of acceptable identification documents required for verification

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

Consent Grant
Data Protection
Information Use
Confidentiality
Duration
Revocation Rights
Information Security
Third Party Disclosure
Regulatory Compliance
Liability
Jurisdiction
Data Subject Rights
Transfer Restrictions
Record Keeping
Authentication
Emergency Disclosure
Notices
Execution

Relevant Industries

Healthcare

Financial Services

Education

Real Estate

Insurance

Government Services

Professional Services

Human Resources

Telecommunications

Legal Services

Banking

Hospitality

Retail

Construction

Technology

Relevant Teams

Legal

Compliance

Human Resources

Information Security

Risk Management

Operations

Administrative Services

Customer Service

Medical Records

Information Technology

Data Protection

Privacy

Relevant Roles

Data Protection Officer

Compliance Manager

Legal Counsel

HR Manager

Privacy Officer

Information Security Manager

Risk Manager

Operations Manager

Administrative Officer

Medical Records Manager

Customer Service Manager

Account Manager

Office Manager

Facilities Manager

Department Head

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Authors

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