Authorization To Disclose Information Form Template for Denmark

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Authorization To Disclose Information Form

I need an Authorization to Disclose Information Form that allows my medical clinic to share patient records with a research institution for a specific study running from March 2025 to December 2025, ensuring GDPR compliance and including special provisions for handling sensitive health data.

What is a Authorization To Disclose Information Form?

The Authorization To Disclose Information Form is a critical document used in Denmark when personal data needs to be shared between organizations or individuals. This form, governed by Danish law and EU GDPR requirements, provides a formal mechanism for obtaining explicit consent for information sharing. It is particularly important in situations where sensitive personal data needs to be transferred, such as in healthcare, financial services, or employment contexts. The document must comply with the Danish Data Protection Act (Databeskyttelsesloven) and includes specific provisions for data subject rights, purpose limitation, and temporal scope of the authorization. Organizations typically use this form to ensure legal compliance and maintain transparent data handling practices.

What sections should be included in a Authorization To Disclose Information Form?

1. Identification of Parties: Details of the individual giving authorization (including name, address, CPR number if applicable) and the organization/entity authorized to disclose information

2. Purpose of Authorization: Clear statement of the specific purpose(s) for which the information disclosure is authorized

3. Information to be Disclosed: Detailed description of the specific information or categories of information authorized for disclosure

4. Recipients of Information: Identification of the specific person(s) or organization(s) to whom the information may be disclosed

5. Duration of Authorization: Specific time period for which the authorization is valid, including start and end dates

6. Rights and Revocation: Statement of the individual's rights, including the right to revoke authorization and the process for doing so

7. Signatures and Date: Space for dated signatures of the authorizing individual and any required witnesses

What sections are optional to include in a Authorization To Disclose Information Form?

1. Special Categories of Data: Additional specific authorizations for sensitive data categories under GDPR (health, biometric, etc.) - include when sensitive data is involved

2. Third Party Representatives: Authorization details for cases where a legal representative is acting on behalf of the data subject - include when applicable

3. Cross-Border Transfer: Specific provisions for international data transfers - include when information may be disclosed outside the EU/EEA

4. Re-disclosure Provisions: Provisions regarding whether recipients may further disclose the information - include when relevant to the disclosure purpose

What schedules should be included in a Authorization To Disclose Information Form?

1. Detailed Information List: Itemized list of specific documents or information types to be disclosed when the main form references multiple categories

2. Privacy Notice: Detailed information about how the disclosed information will be processed and protected by the recipient

3. Authorized Recipients List: Detailed list of all authorized recipients when multiple parties are involved in receiving the 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

Human Resources

Insurance

Legal Services

Public Administration

Social Services

Employment Services

Research Institutions

Relevant Teams

Legal

Compliance

Human Resources

Information Security

Data Protection

Risk Management

Operations

Administrative Services

Records Management

Privacy

Relevant Roles

Data Protection Officer

Compliance Manager

Legal Counsel

HR Manager

Privacy Officer

Information Security Manager

Risk Manager

Healthcare Administrator

Records Manager

Compliance Officer

Operations Manager

Administrative Coordinator

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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