The Patient Declaration Form is a fundamental document required in German healthcare settings before providing medical treatment or services. It ensures compliance with German healthcare regulations, particularly the Patientenrechtegesetz and EU-GDPR, while protecting both patient and provider interests. This form should be used at the initiation of any new patient-provider relationship or when significant changes in treatment occur. It captures essential patient information, treatment consents, data processing agreements, and acknowledgment of rights and responsibilities. The document is designed to meet strict German legal requirements while remaining accessible and understandable to patients, often available in multiple languages to serve diverse patient populations.
Your data doesn't train Genie's AI
You keep IP ownership of your information
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
OR
Let Genie AI's market-leading legal AI identify missing terms, unusual language, compliance issues and more - in just seconds.
Upload your Doc
1. Patient Information: Personal details of the patient including name, date of birth, address, insurance information, and contact details
2. Healthcare Provider Information: Details of the medical facility, treating physician(s), and department
3. General Consent for Treatment: Basic declaration of consent for medical examination, treatment, and routine medical procedures
4. Information Processing Consent: GDPR-compliant declaration regarding the collection, processing, and sharing of personal and health data
5. Financial Responsibility: Declaration regarding payment obligations and insurance coverage
6. Patient Rights Acknowledgment: Confirmation that patient has been informed of their rights under German law
7. Signature Section: Date, place, and signatures of patient (or legal representative) and healthcare provider
1. Specific Procedure Consent: Detailed consent for specific medical procedures, used when the form relates to a particular treatment or surgery
2. Research Participation: Optional consent for participation in medical research or clinical trials
3. Photo/Video Documentation: Consent for visual documentation of treatment, when applicable
4. Interpreter Declaration: Required when translation services are used for non-German speaking patients
5. Religious/Cultural Preferences: Section for declaring specific religious or cultural requirements affecting treatment
6. Emergency Contact Authorization: Authorization for emergency contacts to receive medical information
7. Advance Directives Reference: Reference to existing advance directives or living will, if applicable
1. Patient Rights Information Sheet: Detailed explanation of patient rights under German law
2. Privacy Policy: Detailed information about data protection and privacy practices
3. Cost Information: Breakdown of potential costs and payment procedures
4. Medical Procedure Information: Detailed information about specific medical procedures, risks, and alternatives
5. Hospital Rules and Regulations: Overview of facility rules and policies
6. Insurance Information: Details about insurance coverage and procedures
Relevant legal definitions
Treatment
Healthcare Provider
Medical Facility
Personal Data
Health Data
Consent
Medical Necessity
Emergency Treatment
Patient Rights
Medical Records
Confidential Information
Legal Representative
Advance Directive
Treatment Plan
Standard of Care
Medical Procedure
Informed Consent
Data Processing
Healthcare Services
Insurance Provider
Medical Emergency
Professional Medical Judgment
Authorized Representative
Data Protection Officer
Documentation
Healthcare Provider
Medical Facility
Personal Data
Health Data
Consent
Medical Necessity
Emergency Treatment
Patient Rights
Medical Records
Confidential Information
Legal Representative
Advance Directive
Treatment Plan
Standard of Care
Medical Procedure
Informed Consent
Data Processing
Healthcare Services
Insurance Provider
Medical Emergency
Professional Medical Judgment
Authorized Representative
Data Protection Officer
Documentation
Clauses
Consent to Treatment
Data Protection
Patient Rights
Confidentiality
Financial Responsibility
Information Disclosure
Emergency Treatment
Documentation and Records
Liability
Insurance
Medical Necessity
Religious/Cultural Preferences
Access to Information
Termination of Care
Complaints Procedure
Assignment and Authorization
Governing Law
Photography and Recording
Research Participation
Quality Assurance
Data Protection
Patient Rights
Confidentiality
Financial Responsibility
Information Disclosure
Emergency Treatment
Documentation and Records
Liability
Insurance
Medical Necessity
Religious/Cultural Preferences
Access to Information
Termination of Care
Complaints Procedure
Assignment and Authorization
Governing Law
Photography and Recording
Research Participation
Quality Assurance
Relevant Industries
Healthcare
Medical Services
Hospital Administration
Private Medical Practice
Rehabilitation Centers
Specialized Medical Clinics
Emergency Medical Services
Long-term Care Facilities
Mental Health Services
Diagnostic Centers
Relevant Teams
Legal
Compliance
Medical Administration
Patient Relations
Quality Assurance
Risk Management
Medical Records
Data Protection
Clinical Operations
Patient Registration
International Patient Services
Relevant Roles
Medical Director
Hospital Administrator
Physician
Nurse Manager
Compliance Officer
Legal Counsel
Data Protection Officer
Patient Relations Manager
Medical Records Administrator
Admissions Coordinator
Healthcare Risk Manager
Quality Assurance Manager
Clinical Department Head
Practice Manager
Find the exact document you need
Declaration Of Value Form
A German customs document for declaring the true transaction value of imported goods, complying with EU and German customs regulations.
find out more
Declaration Of Ownership
A formal German law document (Eigentumserklärung) that officially declares and confirms ownership rights over specific property or assets, compliant with BGB requirements.
find out more
Declaration Of Indemnity
A German law-governed declaration where one party formally commits to protect another against specified losses or liabilities, structured according to BGB requirements.
find out more
Thesis Declaration
A legally required declaration for German academic institutions that confirms thesis originality, compliance with academic standards, and publication rights.
find out more
Statutory Declaration Of Identity
A German legal document where an individual formally declares their identity under oath, subject to German law and carrying legal consequences for false statements.
find out more
Statutory Declaration Of Acknowledgement Of Parentage Form
A German legal document that establishes paternity under the German Civil Code, requiring official certification and containing formal declarations of parentage.
find out more
Statutory Declaration Letter
A formal written statement under German law where facts are declared true under penalty of perjury, serving as a legally binding alternative to a sworn oath.
find out more
Statutory Declaration In Lieu Of Guarantor Form
A German legal document where an individual formally declares their financial capacity and responsibility in lieu of providing a guarantor.
find out more
Single Status Statutory Declaration
A German legal declaration certifying an individual's unmarried status and eligibility to marry, governed by German civil law and regulations.
find out more
Signed Declaration Of Applicant And The Parent Legal Guardian
A German law-compliant declaration document combining a minor's application with parental/guardian consent and acknowledgment.
find out more
Self Declaration Form For Vehicle Ownership Transfer
A German-law compliant self-declaration form documenting vehicle ownership transfer between parties, meeting all requirements of the Straßenverkehrsgesetz.
find out more
Self Declaration Form For Scholarship
A German-compliant self-declaration form for scholarship applications, incorporating GDPR and local education law requirements.
find out more
Salary Declaration Letter
A formal German employment document that officially declares and verifies an employee's compensation details, complying with German labor law requirements.
find out more
Parents Declaration Form For Scholarship
A German-law compliant declaration form for parents to support student scholarship applications, including financial and personal information disclosures.
find out more
Income Declaration Form For Scholarship
A German-law compliant form for declaring all income sources relevant to scholarship applications and maintenance, ensuring proper assessment of financial eligibility under German educational funding regulations.
find out more
Driving Licence Declaration Form
A German legal document for declaring driving-related information and qualifications, used for license applications, renewals, or employment purposes under German law.
find out more
Declaration Of Undertaking
A formal legal declaration under German law where a party commits to specific obligations or responsibilities, governed by the German Civil Code (BGB).
find out more
Declaration Of Residence
A mandatory legal document required in Germany for registering one's residence with local authorities (Einwohnermeldeamt), serving as official proof of address.
find out more
Declaration In Lieu Of Affidavit
A formal written statement under German law where the declarant affirms facts with legal consequences equivalent to a sworn statement.
find out more
Custodian Of Records Affidavit
A formal sworn statement under German law designating an individual as the official custodian responsible for maintaining and protecting organizational records.
find out more
Arrival Health Declaration
A mandatory health declaration form required under German law for travelers entering Germany, collecting essential health and travel information for public health monitoring.
find out more
Age Declaration Form
A German-law compliant form for formal declaration of an individual's age, used for legal age verification purposes.
find out more
Age Declaration Certificate
A German legal document certifying an individual's age declaration, typically used for official age verification purposes under German law.
find out more
Affidavit Statutory Declaration
A formal sworn statement under German law where an individual declares facts to be true under penalty of perjury, typically requiring notarization.
find out more
Declaration Of Domicile
A formal declaration document under German law that officially confirms an individual's residential address and registration status within German jurisdiction.
find out more
Affidavit Declaration
A formal sworn statement under German law (eidesstattliche Versicherung) where the declarant legally attests to the truth of specific facts.
find out more
Sworn Declaration
A legally binding statement made under oath in German jurisdiction, carrying criminal penalties for false declarations.
find out more
Statutory Declaration Form
A formal legal document under German law where an individual declares facts to be true under penalty of perjury, equivalent to a sworn statement.
find out more
Declaration Of Exemption
A German law Declaration of Exemption (Befreiungserklärung) used to formally claim exemption from specific legal or regulatory obligations.
find out more
Cargo Declaration
A mandatory customs document used in Germany and the EU for declaring international cargo shipments, complying with German and EU customs regulations.
find out more
Vat Declaration Form
A mandatory German tax document for declaring VAT obligations and claims under German tax law, submitted to the Finanzamt (tax authority).
find out more
Sponsorship Declaration Form
A German legal document where a sponsor formally commits to financial responsibility for a foreign national's stay in Germany, as required by German immigration law.
find out more
Salary Declaration Form
A standardized German payroll document detailing employee compensation, taxes, and social security contributions in compliance with German labor law.
find out more
Referee Declaration Form
A German-compliant declaration form for sports referees that documents qualifications, commitments, and regulatory compliance under German law.
find out more
Employee Declaration Form
A German-law compliant form for collecting essential employee information and declarations required for employment administration and statutory compliance.
find out more
Digital Referee Declaration Form
A German-law compliant digital declaration form for sports referees, including qualifications, responsibilities, and GDPR consent.
find out more
Supplier Declaration Form
A German law-compliant declaration form documenting supplier's regulatory compliance, certifications, and business practices.
find out more
Residency Declaration Form
A mandatory German administrative form for declaring residence with local authorities, required for all individuals establishing residence in Germany.
find out more
Police Declaration Form
A standardized German Police Declaration Form used for officially reporting incidents or circumstances to police authorities, compliant with German federal and state regulations.
find out more
Online Wealth Declaration Form For Public Servants
A German-compliant online form for mandatory wealth and financial interest declarations by public servants, meeting federal and state transparency requirements.
find out more
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
We are ISO27001 certified, so your data is secure
Organizational security:
You retain IP ownership of your documents and their information
You have full control over your data and who gets to see it
.png)
.png)