Personal Release And Consent Form Template for South Africa

Create a bespoke document in minutes,  or upload and review your own.

4.6 / 5
4.8 / 5

Let's create your Personal Release And Consent Form

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.

Get your first 2 documents free

Your data doesn't train Genie's AI

You keep IP ownership of your information

Key Requirements PROMPT example:

Personal Release And Consent Form

"I need a Personal Release and Consent Form for my photography business in Cape Town, specifically for capturing and using client images on my website and social media, with special provisions for storing images in cloud services and sharing with third-party advertisers."

Document background
The Personal Release and Consent Form is an essential legal instrument in South Africa's data protection landscape, designed to meet the stringent requirements of the Protection of Personal Information Act (POPIA) and related privacy legislation. This document is typically used when organizations need to collect, process, or share personal information, requiring explicit consent from individuals. It serves multiple purposes across various sectors, from healthcare and education to financial services and media, ensuring that both the data subject's rights are protected and the organization's data processing activities are legally compliant. The form must be drafted in clear, understandable language as required by South African law, and should include comprehensive details about data collection purposes, processing activities, and the subject's rights, including the right to withdraw consent.
Suggested Sections

1. Parties: Identification of the person giving consent (the 'Grantor') and the organization/individual receiving the consent (the 'Recipient')

2. Background: Brief context explaining why the consent is being sought and the relationship between the parties

3. Definitions: Clear definitions of key terms used in the document, including types of personal information, processing activities, and specific uses

4. Purpose of Consent: Detailed explanation of why the personal information is being collected and how it will be used

5. Information to be Collected: Specific list of personal information that will be collected, processed, or shared

6. Processing Activities: Description of how the personal information will be processed, stored, and protected

7. Duration of Consent: Period for which the consent remains valid and circumstances under which it expires

8. Rights of the Grantor: Explanation of the grantor's rights under POPIA, including right to access, correct, and withdraw consent

9. Authorization: Clear statement of consent and authorization, including acknowledgment of understanding

10. Signatures: Space for dated signatures of all parties and witnesses

Optional Sections

1. Medical Information Release: Additional section when the release involves medical records or health information

2. Image and Likeness Rights: Specific section for consent to use photographs, videos, or other media featuring the grantor

3. Minor's Consent: Additional provisions when the consent involves a minor, including parent/guardian authorization

4. International Transfer: Specific provisions for cases where personal information may be transferred across borders

5. Financial Information: Special provisions for consent to collect and process financial information

6. Digital Communications: Specific consent for electronic communications and marketing purposes

7. Withdrawal Procedure: Detailed process for withdrawing consent, used when the processing activities are complex

Suggested Schedules

1. Schedule A - Types of Personal Information: Detailed list of all categories of personal information to be collected and processed

2. Schedule B - Specific Uses and Purposes: Comprehensive list of all intended uses and purposes for the personal information

3. Schedule C - Third Party Recipients: List of third parties with whom the information may be shared, if applicable

4. Appendix 1 - Consent Withdrawal Form: Template form for withdrawing consent

5. Appendix 2 - Privacy Policy: Organization's privacy policy or relevant excerpts thereof

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

Education

Financial Services

Media and Entertainment

Marketing and Advertising

Research and Development

Human Resources

Professional Services

Non-profit Organizations

Retail

Technology

Sports and Recreation

Tourism and Hospitality

Relevant Teams

Legal

Compliance

Human Resources

Marketing

Research & Development

Privacy Office

Risk Management

Information Management

Operations

Customer Relations

Administration

Relevant Roles

Data Protection Officer

Legal Counsel

Compliance Manager

HR Manager

Marketing Director

Research Coordinator

Privacy Officer

Risk Manager

Information Officer

Operations Manager

Project Manager

Business Development Manager

Customer Relations Manager

Healthcare Administrator

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

Find the exact document you need

Photo Release For Social (Media)

A South African law-compliant agreement authorizing the use of photographs on social media platforms while ensuring POPIA compliance and protecting all parties' rights.

find out more

Permission To Release Medical Information Form

A South African-compliant form authorizing the release of medical information between specified parties, adhering to POPIA and healthcare regulations.

find out more

Standard Consent Form For Release Of Personal Information

A South African POPIA-compliant consent form for the collection and processing of personal information.

find out more

Consent Form For Release Of Information

A South African legal document that records an individual's consent for the collection, use, and disclosure of their personal information in compliance with POPIA.

find out more

Patient Release Form

A South African-compliant Patient Release Form documenting patient discharge from healthcare facilities, including medical instructions and legal acknowledgments.

find out more

Consent For Medical Records Release Form

A South African-compliant form authorizing the release of medical records, ensuring legal protection of patient privacy and healthcare information in accordance with POPIA and the National Health Act.

find out more

Release Of Health Information Form

A South African-compliant authorization form for the release of medical records and health information, adhering to POPIA and healthcare regulations.

find out more

Doctor Release Form To Return To Work

A South African-compliant medical certification form authorizing an employee's return to work after medical leave, including any necessary work restrictions or accommodations.

find out more

Release Waiver Agreement

A South African law-compliant agreement where participants waive certain rights and accept specified risks related to particular activities or services.

find out more

Consent To Disclose Medical Information

A South African legal document authorizing the disclosure of medical information between healthcare providers and specified third parties, compliant with POPIA and healthcare regulations.

find out more

Consent Form To Disclose Medical Information

A South African-compliant consent form for authorizing the disclosure of patient medical information, aligned with POPIA and healthcare regulations.

find out more

Consent Form For Social (Media)

South African POPIA-compliant social media consent form for managing personal information usage and content sharing on social media platforms.

find out more

3rd Party Release Form

A South African law-compliant release form for obtaining third-party consent and liability waivers, incorporating POPIA requirements and relevant local legislation.

find out more

Student Release Form

A South African legal document facilitating student withdrawal or transfer from an educational institution, ensuring compliance with local education and data protection laws.

find out more

Promissory Note Release

A South African law-compliant document that formally releases a debtor from their obligations under a promissory note, providing legal evidence of debt discharge.

find out more

Patient Disclosure Authorization Form

A South African legal form authorizing healthcare providers to disclose patient medical information to specified parties, compliant with POPIA and healthcare regulations.

find out more

Minor Release Form

A South African legal document obtaining parental/guardian consent for minor participation in activities or media usage, compliant with local child protection laws.

find out more

General Authorization For Release Of Information

A South African legal document authorizing the release of personal information in compliance with POPIA and privacy laws.

find out more

Estate Executor Release Form

A South African legal document that releases an executor from their duties after completing estate administration and receiving beneficiary confirmation of satisfactory asset distribution.

find out more

Consent To Disclose Personal Health Information Form

South African legal form for authorized disclosure of personal health information, compliant with POPIA and National Health Act requirements.

find out more

Authorization To Release Medical Information To Family Members

A South African law-compliant authorization form allowing healthcare providers to share specified medical information with designated family members, subject to POPIA and National Health Act requirements.

find out more

Audio Release Form

A South African law-compliant document that grants permission for the recording, use, and distribution of audio content while protecting all parties' rights.

find out more

Medical Treatment Authorization And Consent Form

A South African healthcare document authorizing medical treatment and procedures while ensuring compliance with national health regulations and patient rights protection.

find out more

Release Of Information Form Mental Health

A South African-compliant form authorizing the release of mental health records and information, ensuring patient privacy rights under local legislation.

find out more

Medical Treatment Release Form

A South African healthcare consent form that documents patient authorization for medical treatment while ensuring compliance with local healthcare laws and regulations.

find out more

Key Release Form

A South African legal document that formalizes the transfer of keys or access devices, establishing terms and conditions for key possession and return while ensuring compliance with local property and security regulations.

find out more

Paycheck Release Form

A South African compliant form documenting and confirming wage payment from employer to employee, including payment details and legal acknowledgments.

find out more

Medical Records Form

A South African-compliant medical records form for collecting and managing patient healthcare information, adhering to National Health Act and POPIA requirements.

find out more

Participation Waiver Form

A South African legal document that establishes risk acknowledgment and liability waiver between activity providers and participants, compliant with local consumer protection laws.

find out more

Consent To Share Information

A South African law-compliant document that establishes consent for sharing personal information under POPIA requirements.

find out more

Reference Release Authorization Form

A South African law-compliant authorization form enabling former employers to provide reference information about an individual to specified parties.

find out more

Printing Release Form

A South African law-compliant document granting authorization for printing and reproducing content, establishing terms between content owners and printers.

find out more

Personal Release And Consent Form

A South African legal document for obtaining informed consent for the collection and processing of personal information, compliant with POPIA and local privacy laws.

find out more

Online Photo Consent Form

South African POPIA-compliant online photo consent form for lawful collection and usage of photographic personal information.

find out more

Minor Consent To Treat Form

A South African legal document for parental/guardian consent to medical treatment of minors, compliant with local healthcare and child protection legislation.

find out more

Employment Background Check Consent Form

A South African legal document for obtaining candidate/employee consent for background checks, compliant with POPIA and local employment laws.

find out more

Employee Key Release Form

A South African compliant form establishing terms and responsibilities for employee key and access device management, aligned with local labor and security regulations.

find out more

Video Consent And Release Form

A South African law-compliant consent form for video recording and usage rights, ensuring POPIA compliance and protecting all parties' interests.

find out more

Temporary Guardian Medical Release Form

A South African legal document authorizing a temporary guardian to make medical decisions for a minor child when parents/legal guardians are unavailable.

find out more

Simple Release Form

A South African legal document that releases one party from liability or obligations to another, governed by local contract law and consumer protection legislation.

find out more

Risk Waiver Form

A South African legal document where participants acknowledge and accept activity risks while releasing providers from liability for ordinary negligence, in compliance with local consumer protection laws.

find out more

Protected Health Information Form

South African Protected Health Information Form compliant with POPIA and National Health Act, governing the handling of patient health information.

find out more

Permission To Use Photo Agreement

A South African law-governed agreement that establishes terms for authorized use of photographs, protecting both the copyright owner's and user's interests.

find out more

Parent Medical Consent Form

A South African legal document authorizing medical treatment for minors when parents/guardians are unavailable, compliant with the Children's Act and National Health Act.

find out more

Medical Release Consent Form

A South African legal document obtaining patient consent for medical procedures and information release, compliant with National Health Act and POPIA requirements.

find out more

Legal Release Form

A South African legal document that releases one party from liability or obligations to another, governed by South African contract law and relevant statutes.

find out more

Hospital Release Form

A South African-compliant document authorizing and recording a patient's discharge from hospital care, aligned with national healthcare regulations.

find out more

Filming Consent Form

A South African-compliant legal document obtaining consent for filming and usage of footage, ensuring POPIA compliance and protection of personal rights.

find out more

Basic Photography Release Form

A South African legal document that grants permission for the use of photographs of an individual, complying with local privacy and copyright laws.

find out more

Workers Comp Medical Release Form

A South African legal document authorizing the release of medical information for workers' compensation claims under COIDA legislation.

find out more

Medical Records Release Of Information

A South African-compliant authorization document for the release and transfer of medical records between healthcare providers and authorized recipients, aligned with POPIA requirements.

find out more

Permission To Share Medical Information Form

A South African law-compliant form authorizing the sharing of patient medical information with specified parties, ensuring data protection and patient privacy rights.

find out more

Patient Media Release Form

A South African-compliant consent form for healthcare providers to capture and use patient-related media content while protecting patient privacy under POPIA and healthcare regulations.

find out more

Criminal History Release Form

A South African legal document authorizing the release and verification of an individual's criminal history records, compliant with local privacy and criminal procedure laws.

find out more

Generic Medical Authorization Form

A South African-compliant medical authorization form for healthcare procedures and information sharing, aligned with National Health Act and POPIA requirements.

find out more

Written Medical Consent Form

A South African legal document for obtaining informed patient consent for medical procedures, compliant with National Health Act and POPIA requirements.

find out more

Rental Verification Release Form

A South African legal document authorizing the release of tenant rental history and information, compliant with local privacy laws and rental regulations.

find out more

Doctor Medical Records Release Form

A South African-compliant form authorizing the release of medical records from healthcare providers to designated recipients, adhering to national healthcare and privacy laws.

find out more

Authorization To Release Patient Information

A South African-compliant authorization form for the release of patient medical information, ensuring legal protection for all parties while facilitating necessary medical information sharing.

find out more

Authorization For Release Of Financial Information

A South African law-compliant authorization document enabling the controlled release of financial information between specified parties while ensuring data protection and privacy requirements are met.

find out more

Release Of Personal Injury Form

A South African legal document that releases liability for personal injury claims in exchange for agreed compensation, compliant with local personal injury and consumer protection laws.

find out more

Release Form For Car

A South African legal document that facilitates vehicle transfer and releases the previous owner from future liability, compliant with local automotive and consumer protection laws.

find out more

Consent Form To Release Medical Information To A Third Party

A South African law-compliant consent form authorizing the release of specified medical information from a healthcare provider to a designated third party.

find out more

Consent Form For Use Of Photographs

A South African law-compliant consent form for the authorized use of photographs, ensuring POPIA compliance and protecting both photographer and subject rights.

find out more

Consent Form For Publishing Photos

A South African law-compliant consent form for obtaining permission to take, use, and publish photographs of individuals, adhering to POPIA and privacy regulations.

find out more

Authorization Letter For Release Of Medical Records

A South African-compliant authorization letter enabling the legal release and transfer of specified medical records, ensuring proper consent and privacy protection under POPIA and the National Health Act.

find out more

Basic Media Release Form

A South African legal document granting permission for the use of an individual's image or likeness in media content.

find out more

Medical Release Form For Medical Records

A South African legal document authorizing the release and transfer of medical records between parties, compliant with POPIA and National Health Act requirements.

find out more

Photo Release Form For Printing

A South African legal document granting authorization for the printing and publication of photographs, ensuring compliance with local privacy and copyright laws.

find out more

Estate Release Form

A South African legal document confirming a beneficiary's receipt of inheritance and releasing the executor from further obligations under South African estate law.

find out more

Authorization Of Release Of Unemployment Records Form

A South African legal form authorizing the release of individual unemployment records from the UIF and Department of Employment and Labour.

find out more

Release Of Vehicle Ownership Form

A South African legal document that formally transfers vehicle ownership rights from one party to another, complying with national road traffic regulations.

find out more

Release Of Information Form Therapy

A South African legal document authorizing the release of confidential therapy information to specified third parties, compliant with POPIA and mental health legislation.

find out more

Medical History Consent Form

South African medical history consent form compliant with POPIA and healthcare regulations, enabling authorized collection and use of patient medical information.

find out more

Consent To Disclose Personal Information Form

A POPIA-compliant consent form for personal information disclosure in South Africa, enabling lawful sharing of personal data with specified third parties.

find out more

Client Information Release Form

A South African POPIA-compliant form authorizing the release of client information with specific consent declarations and data protection measures.

find out more

Beneficiary Release Form

A South African law-governed document recording a beneficiary's receipt of benefits and release of claims against an estate, trust, or fund.

find out more

Authorization For Release Of Health Information

A South African compliant authorization form for the release of health information, aligned with POPIA and National Health Act requirements.

find out more

Authorization And Consent To Release Information

A South African law-compliant document authorizing the release and processing of personal information under POPIA guidelines.

find out more

Authorization To Release Medical Information Form

A South African legal form authorizing the release of patient medical information between specified parties, compliant with POPIA and healthcare regulations.

find out more

Towing Release Form

A South African legal document establishing terms and liability releases for vehicle towing services, protecting both service provider and vehicle owner interests.

find out more

Summer Camp Waiver Form

A South African legal waiver form for summer camp participation, covering liability, medical consent, and child protection under South African law.

find out more

Permission And Medical Release Form

A South African-compliant form combining medical information disclosure, treatment consent, and liability release, designed to protect both organizations and participants while ensuring proper emergency care.

find out more

Patient Liability Waiver Form

A South African-compliant legal document where patients acknowledge medical procedure risks and waive certain liability claims against healthcare providers while preserving essential patient rights.

find out more

License Release Form

A South African-compliant legal document that grants permission for specific use of copyrighted or proprietary content, governed by SA copyright and consumer protection laws.

find out more

Financial Release Letter

A South African legal document that formally releases a party from specified financial obligations or debts, governed by South African financial and contract law.

find out more

Donation Release Form

A South African legal document that formalizes the transfer of donations from donor to recipient, ensuring legal compliance and protection for all parties involved.

find out more

Medical Records Release Letter

A South African-compliant authorization letter for the release of medical records, meeting POPIA and National Health Act requirements.

find out more

Verification Of Release Form

A South African legal document verifying the formal release of obligations, responsibilities, or commitments between parties, requiring compliance with local legislation.

find out more

Trust Release Form

A South African legal document that formally releases a trustee from their duties and responsibilities while ensuring compliance with local trust law requirements.

find out more

Subrogation Release Form

A South African legal document that transfers recovery rights from an insured party to their insurer following an insurance claim settlement.

find out more

Statement Release Form

A South African legal document authorizing the use of statements or testimonials, ensuring compliance with local privacy and consumer protection laws.

find out more

Public Release Form

A South African-compliant legal document granting permission for public use of personal information, images, or likeness, aligned with POPIA requirements.

find out more

Medical Consent Authorization Form

A South African legal document for obtaining informed patient consent for medical procedures, compliant with the National Health Act.

find out more

Job Release Form

A South African law-compliant document that formalizes employment termination and settles all claims between employer and employee.

find out more

Employee Medical Consent Form

A South African legal document obtaining employee consent for the collection and processing of medical information in compliance with POPIA and related legislation.

find out more

Consent For Treatment Of A Minor Without Parent Form

A South African legal form enabling minors (12+ years) to consent to medical treatment without parental involvement, in accordance with the Children's Act 38 of 2005.

find out more

Medical Records Transfer Form

A South African legal document for authorized transfer of patient medical records between healthcare providers, compliant with POPIA and healthcare regulations.

find out more

Return To Work Release Form

A South African compliant document that formally certifies an employee's fitness to return to work after medical leave, including any necessary workplace accommodations.

find out more

Statement Of Release Form

A South African legal document that releases one party from claims, obligations, or liabilities towards another party, governed by South African contract law.

find out more

Download our whitepaper on the future of AI in Legal

By providing your email address you are consenting to our Privacy Notice.
Thank you for downloading our whitepaper. This should arrive in your inbox shortly. In the meantime, why not jump straight to a section that interests you here: https://www.genieai.co/our-research
Oops! Something went wrong while submitting the form.

Genie’s Security Promise

Genie is the safest place to draft. Here’s how we prioritise your privacy and security.

Your documents are private:

We do not train on your data; Genie’s AI improves independently

All data stored on Genie is private to your organisation

Your documents are protected:

Your documents are protected by ultra-secure 256-bit encryption

Our bank-grade security infrastructure undergoes regular external audits

We are ISO27001 certified, so your data is secure

Organizational security

You retain IP ownership of your documents

You have full control over your data and who gets to see it

Innovation in privacy:

Genie partnered with the Computational Privacy Department at Imperial College London

Together, we ran a £1 million research project on privacy and anonymity in legal contracts

Want to know more?

Visit our Trust Centre for more details and real-time security updates.