Patient Confidentiality Form Generator for United Arab Emirates

1. Electronic Health Records Access: Additional provisions for cases where the healthcare provider offers electronic health record access

2. Third Party Access Authorization: Optional section for patients to authorize specific family members or other parties to access their medical information

3. Research Data Use: Optional consent for use of anonymized data in medical research

4. International Data Transfer: Required when the healthcare provider may need to transfer data outside the UAE

5. Specific Treatment Confidentiality: Additional confidentiality provisions for specific types of sensitive treatments or conditions

6. Language Declaration: Required when the patient's primary language is not Arabic or English, confirming the form has been explained in their preferred language

1. Schedule A - Authorized Personnel List: List of healthcare provider staff roles authorized to access patient information

2. Schedule B - Patient Rights Summary: Detailed explanation of patient rights under UAE law regarding their medical information

3. Schedule C - Emergency Contacts: List of emergency contacts who may be informed about patient's medical condition in emergencies

4. Appendix 1 - Privacy Practices: Detailed description of the healthcare provider's privacy practices and data protection measures

5. Appendix 2 - Relevant Laws Extract: Summary of relevant UAE healthcare privacy laws and regulations for patient reference