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Consent To Share Information Template
I need a Consent To Share Information Template for my medical practice to share patient records with specialist consultants, ensuring compliance with healthcare regulations and including specific provisions for handling sensitive medical data.
1. Parties: Details of the data controller and the individual giving consent
2. Background: Context and purpose of the information sharing
3. Definitions: Key terms used in the consent form
4. Information to be Shared: Specific details of what information will be shared
5. Purpose of Sharing: Clear explanation of why the information is being shared
6. Duration of Consent: Time period for which consent is valid
7. Rights of the Data Subject: Explanation of rights to withdraw consent and other GDPR rights
1. Third Party Recipients: Additional section required when information will be shared beyond immediate parties
2. Special Category Data: Additional provisions required when sharing health, racial, religious or other sensitive data
3. International Transfers: Provisions required when data may be transferred internationally
1. Schedule 1: Detailed Data Categories: Comprehensive list of specific data items to be shared
2. Schedule 2: Authorized Recipients: Detailed list of organizations and their roles in data sharing
3. Appendix A: Privacy Notice: Detailed privacy information as required by GDPR
Authors
Applicable Data Protection Laws
Confidential Information
Consent
Data Controller
Data Processor
Data Protection Officer
Data Subject
Effective Date
GDPR
Information
Personal Data
Processing
Purpose
Recipients
Representatives
Sensitive Personal Data
Special Category Data
Third Party
Transfer
Data Protection
Data Security
Confidentiality
Information Use
Duration and Termination
Rights of Data Subject
Purpose Limitation
Third Party Disclosure
International Transfers
Data Accuracy
Data Retention
Data Subject Access
Breach Notification
Withdrawal of Consent
Record Keeping
Storage and Security
Information Sharing Protocol
Data Quality
Complaints Handling
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