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Client Consent Form
"I need a Client Consent Form for my physiotherapy clinic in Singapore that covers both in-person treatments and collection of medical data, ensuring PDPA compliance and including specific clauses about photograph/video recording during treatment sessions."
1. Client Information: Basic details of the client including name, identification, contact information
2. Service Description: Clear description of services/procedures being consented to
3. Consent Declaration: Explicit statement of consent and acknowledgment
4. Data Collection Notice: PDPA-compliant explanation of data collection and usage
5. Signature Block: Space for client signature, date, and witness if required
1. Risk Disclosure: Required for medical procedures or high-risk services - to be included when dealing with medical or high-risk services
2. Payment Terms: Details of fees and payment obligations - to be included when service involves payment
3. Withdrawal of Consent: Process for withdrawing consent - recommended for ongoing services or data collection
4. Third Party Disclosure: Details of information sharing with third parties - required when information will be shared with others
1. Schedule of Services: Detailed breakdown of services being consented to
2. Schedule of Risks: Comprehensive list of potential risks and complications
3. Schedule of Fees: Detailed breakdown of all applicable fees and charges
Authors
Data Collection and Usage
Data Protection
Disclosure of Information
Duration and Termination
Emergency Procedures
Fees and Payment
Force Majeure
Governing Law
Indemnification
Information Accuracy
Privacy
Purpose of Collection
Record Keeping
Risks and Acknowledgments
Rights and Obligations
Service Description
Third Party Disclosure
Withdrawal of Consent
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