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Consent Statement

Consent Statement Template for Australia

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Key Requirements PROMPT example:

Consent Statement

"I need a Consent Statement for my medical clinic in Sydney that covers the collection and sharing of patient health information with specialists and other healthcare providers, compliant with Australian healthcare privacy regulations and scheduled to be implemented by March 2025."

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Document background
A Consent Statement is a fundamental document required under Australian privacy law whenever organizations collect, use, or disclose personal information. This document type is essential for compliance with the Privacy Act 1988 and the Australian Privacy Principles (APPs), which mandate that organizations obtain informed consent from individuals. The Consent Statement should be used whenever collecting personal information, particularly sensitive data such as health information, financial details, or when information will be shared with third parties. It must clearly articulate the purpose of collection, intended uses, potential disclosures, storage methods, and the individual's rights. The document serves both as a legal protection for organizations and as a transparency mechanism for individuals, ensuring they understand how their information will be handled.
Suggested Sections

1. Title and Date: Clear identification of the document as a consent statement and the effective date

2. Organization Details: Identity and contact details of the organization seeking consent

3. Individual Details: Space for the individual's identification details

4. Purpose of Consent: Clear explanation of what the individual is consenting to

5. Information Collection: Details of what information will be collected and how

6. Use of Information: Explanation of how the collected information will be used

7. Information Sharing: Details of any third parties with whom the information may be shared

8. Storage and Security: Description of how the information will be stored and protected

9. Individual's Rights: Explanation of the individual's rights regarding their information

10. Withdrawal Process: Process for withdrawing consent and any implications

11. Declaration: Formal consent statement and signature block

Optional Sections

1. Specific Legal Notices: Additional legal notices required for specific jurisdictions or industries

2. Health Information Provisions: Required when collecting health-related information, including specific handling procedures

3. Financial Information Provisions: Required when collecting financial information, including specific security measures

4. Marketing Consent: Optional section for specific consent to marketing communications

5. Research Use: Required when information may be used for research purposes

6. International Transfer: Required when personal information may be transferred overseas

7. Photography/Media Release: Required when consent includes use of images or media

8. Emergency Contacts: Optional section for collecting emergency contact information

Suggested Schedules

1. Privacy Policy Reference: Detailed privacy policy of the organization

2. Data Categories: Detailed list of all types of personal information to be collected

3. Third Party Recipients: Complete list of third parties who may receive the information

4. Security Measures: Detailed description of security measures for data protection

5. Withdrawal Form: Template form for withdrawing consent

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

Linkedin in social icon imageX social icon image
alex.den.21@genieai.co
Relevant legal definitions
Personal Information
Sensitive Information
Consent
Express Consent
Implied Consent
Organization
Individual
Authorized Representative
Third Party
Collection
Use
Disclosure
Processing
Data Storage
Privacy Policy
Opt-out
Withdrawal of Consent
Cross-border Disclosure
Security Measures
Data Breach
Notification
Record
Identity Verification
Privacy Notice
Reasonable Steps
Australian Privacy Principles
Direct Marketing
Health Information
Permitted General Situation
Permitted Health Situation
Relevant Industries

Healthcare

Financial Services

Education

Technology

Retail

Professional Services

Government

Non-profit

Research & Development

Marketing & Advertising

Entertainment & Media

Insurance

Telecommunications

Relevant Teams

Legal

Compliance

Risk Management

Human Resources

Information Technology

Data Protection

Operations

Customer Service

Marketing

Research

Information Security

Quality Assurance

Medical Records

Administrative Services

Relevant Roles

Privacy Officer

Legal Counsel

Compliance Manager

Data Protection Officer

Risk Manager

Human Resources Manager

Information Security Officer

Operations Manager

Customer Service Manager

Marketing Manager

Research Director

Medical Director

Financial Controller

IT Manager

Business Development Manager

Industries
Privacy Act 1988 (Cth): The primary federal law governing privacy in Australia, including the Australian Privacy Principles (APPs) which set out standards for collection, use, disclosure and management of personal information
Australian Privacy Principles (APPs): 13 principles under the Privacy Act that govern standards, rights and obligations for handling, holding, accessing and correcting personal information
Electronic Transactions Act 1999 (Cth): Provides the legal framework for electronic transactions and signatures, relevant for digital consent mechanisms
Healthcare Identifiers Act 2010: Specific provisions for handling healthcare-related personal information and consent requirements in the healthcare sector
Competition and Consumer Act 2010 (including Australian Consumer Law): Contains provisions about misleading or deceptive conduct which may affect how consent information is presented to individuals
Australian Securities and Investments Commission Act 2001: Relevant if the consent relates to financial services, including requirements for clear disclosure and fair conduct
State-specific Privacy Laws: Various state-level privacy laws that may apply depending on the jurisdiction and nature of the information being collected
Teams

Employer, Employee, Start Date, Job Title, Department, Location, Probationary Period, Notice Period, Salary, Overtime, Vacation Pay, Statutory Holidays, Benefits, Bonus, Expenses, Working Hours, Rest Breaks,  Leaves of Absence, Confidentiality, Intellectual Property, Non-Solicitation, Non-Competition, Code of Conduct, Termination,  Severance Pay, Governing Law, Entire Agreemen

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