Letter Of Consent To Release Personal Information Template for India

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Letter Of Consent To Release Personal Information

"I need a Letter of Consent to Release Personal Information for my healthcare clinic in Mumbai, allowing us to share patient medical records with specialist consultants and insurance providers, compliant with Indian healthcare privacy regulations from January 2025."

Document background
The Letter of Consent to Release Personal Information is a crucial document in India's data protection framework, becoming increasingly important with the implementation of the Digital Personal Data Protection Act 2023. This document is essential when organizations need to collect, process, or share an individual's personal information while ensuring compliance with Indian privacy laws. It serves as written evidence of informed consent and is commonly used across various sectors including healthcare, financial services, and education. The letter typically includes detailed specifications about what information can be released, to whom, for what purpose, and for how long. It must comply with specific requirements under Indian law regarding consent validity, information disclosure, and data subject rights. This document is particularly relevant in situations involving sensitive personal data or when information needs to be shared with third parties.
Suggested Sections

1. Date and Place: Current date and location of signing

2. Consenting Individual's Details: Full name, contact information, and identification details of the person giving consent

3. Recipient Organization/Individual Details: Details of the entity/person to whom the information will be released

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

5. Scope of Information: Specific description of what personal information is authorized for release

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

7. Rights and Revocation: Statement of the consenting individual's rights and how to revoke consent

8. Declaration and Signature: Formal declaration of consent and space for signature

Optional Sections

1. Sensitive Personal Data Declaration: Additional declarations required when releasing sensitive personal data like health records, financial information, or biometric data

2. Third Party Transfer Permissions: Authorization for further sharing of information with other parties, if applicable

3. Digital Processing Consent: Specific consent for digital processing and storage of information

4. International Transfer Clause: Required when personal information may be transferred outside India

5. Emergency Contact Authorization: Permission to release information to emergency contacts in specific situations

Suggested Schedules

1. Schedule A - Detailed Information List: Comprehensive list of specific personal information authorized for release

2. Schedule B - Authorized Recipients: List of specific individuals/departments authorized to receive the information, if multiple

3. Appendix 1 - Identity Proof: Copies of identity documents of the consenting individual

4. Appendix 2 - Special Instructions: Any specific handling instructions or restrictions for the released information

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

Relevant Industries

Healthcare

Financial Services

Education

Insurance

Technology

Human Resources

Government Services

Telecommunications

Real Estate

Professional Services

Research and Development

Retail

Relevant Teams

Legal

Compliance

Human Resources

Information Security

Data Privacy

Risk Management

Operations

Customer Service

Records Management

Information Technology

Relevant Roles

Privacy Officer

Data Protection Officer

Compliance Manager

Legal Counsel

HR Manager

Information Security Officer

Records Manager

Risk Manager

Operations Manager

Customer Service Manager

Healthcare Administrator

Financial Services Officer

Education Administrator

Industries
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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