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1. Parties: Identification of (1) the individual giving consent (Data Subject), (2) the organization/person holding the information (Data Holder), and (3) the recipient of the information (Data Recipient)
2. Background: Brief context explaining why the information release is necessary or being requested
3. Definitions: Key terms used in the document, including types of information, parties involved, and any technical or legal terms
4. Information to be Released: Detailed specification of the exact information or categories of information to be released
5. Purpose of Release: Clear statement of the specific purpose(s) for which the information will be used
6. Duration of Consent: The period for which the consent remains valid, including start and end dates if applicable
7. Data Protection Statement: Statement regarding how the released information will be protected and handled in accordance with Hong Kong's Personal Data (Privacy) Ordinance
8. Declaration and Signature: Formal declaration by the consenting party and space for signature, date, and witness if required
1. Third Party Authorization: Required when consent is given by someone other than the data subject (e.g., parent, guardian, or authorized representative)
2. Withdrawal of Consent: Details about the process for withdrawing consent, including any notice periods or limitations
3. Emergency Contact Information: Include when the information release relates to medical or emergency situations
4. Confidentiality Agreement: Additional confidentiality provisions when highly sensitive information is involved
5. Digital Consent Provisions: Required when the form will be executed electronically, including compliance with Electronic Transactions Ordinance
1. Schedule 1 - Details of Information: Detailed list or categories of specific information to be released, especially useful when multiple types of information are involved
2. Schedule 2 - Authorized Recipients: List of specific individuals or organizations authorized to receive the information, if multiple recipients are involved
3. Appendix A - Privacy Policy: Copy of relevant privacy policy or data protection guidelines
4. Appendix B - Identity Verification Documents: List of acceptable identity verification documents and requirements for submission
Data Controller
Data Processor
Data Recipient
Personal Data
Sensitive Personal Data
Authorized Representative
Consent
Information Release
Confidential Information
Data Protection Laws
Personal Data (Privacy) Ordinance
Processing
Third Party
Permitted Purpose
Data Transfer
Authorized Personnel
Records
Information Categories
Disclosure
Privacy Policy
Data Protection Statement
Electronic Signature
Withdrawal Notice
Effective Date
Consent Period
Force Majeure
Governing Law
Jurisdiction
Information Scope
Data Protection
Purpose Limitation
Duration
Confidentiality
Rights and Obligations
Third Party Disclosure
Data Security
Withdrawal Rights
Privacy Notice
Electronic Consent
Identity Verification
Information Accuracy
Liability
Force Majeure
Governing Law
Dispute Resolution
Severability
Amendment
Representations and Warranties
Indemnification
Notice Requirements
Termination
Healthcare
Financial Services
Education
Insurance
Legal Services
Human Resources
Government Services
Banking
Real Estate
Healthcare Technology
Social Services
Professional Services
Telecommunications
Research & Development
Legal
Compliance
Human Resources
Information Security
Risk Management
Operations
Administrative Services
Customer Service
Medical Records
Data Protection
Information Technology
Privacy Office
Privacy Officer
Compliance Manager
Legal Counsel
HR Director
Medical Records Administrator
Data Protection Officer
Risk Manager
Information Security Officer
Operations Manager
Administrative Director
Customer Service Manager
Recruitment Manager
Healthcare Administrator
Financial Controller
School Administrator
Records Manager
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