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Disclosure Release Form
"I need a Disclosure Release Form for my Singapore-based healthcare company to share patient data with a research institution, ensuring PDPA compliance and including specific provisions for handling sensitive medical information, to be effective from March 2025."
1. Identification of Parties: Details of the disclosing and receiving parties
2. Purpose of Disclosure: Clear statement of why information is being disclosed
3. Definition of Confidential Information: Specific description of information being disclosed
4. Consent Statement: Express consent for information disclosure
5. Release Terms: Specific terms of the release and its scope
6. Governing Law: Statement of applicable law (Singapore)
1. Duration of Release: Timeframe for which the release is valid - used when release needs to be time-limited
2. Permitted Uses: Specific allowed uses of disclosed information - used when disclosure is limited to specific purposes
3. Third Party Rights: Rights of third parties regarding disclosed information - used when information may affect third parties
4. Revocation Rights: Terms for withdrawing consent - used when revocation possibility needs to be included
1. Schedule of Disclosed Information: Detailed list of specific information being disclosed
2. Consent Forms: Additional consent forms for specific types of information
3. Authorization Documents: Supporting documents proving authority to disclose
4. Data Protection Notices: Required PDPA notices and acknowledgments
Authors
Personal Data
Disclosure
Disclosing Party
Receiving Party
Authorized Purpose
Consent
Data Subject
Release Period
Permitted Recipients
Sensitive Personal Data
Representatives
Affiliates
Business Day
Effective Date
Governing Law
Intellectual Property Rights
Material
Notice
PDPA
Processing
Territory
Third Party
Unauthorized Disclosure
Scope of Disclosure
Confidentiality
Data Protection
Purpose of Disclosure
Duration and Termination
Permitted Uses
Restrictions on Use
Transfer of Information
Security Measures
Third Party Rights
Indemnification
Liability
Warranties and Representations
Revocation Rights
Notice Requirements
Governing Law
Dispute Resolution
Severability
Entire Agreement
Amendment
Assignment
Force Majeure
Execution and Authority
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