Consent And Release Form Template for Philippines

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

4.6 / 5
4.8 / 5

Let's create your Consent And Release 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:

Consent And Release Form

"I need a Consent and Release Form for a medical research study in Manila, starting March 2025, where we'll be collecting blood samples and personal health data from adult participants, with specific provisions for data privacy and the right to withdraw from the study."

Document background
The Consent And Release Form is a crucial legal instrument in Philippine business and professional practice, designed to meet the requirements of Philippine law, particularly Republic Act No. 10173 (Data Privacy Act) and the Civil Code. This document is essential when an organization needs to obtain explicit permission for specific actions while simultaneously securing a release of liability or rights. Common scenarios include medical procedures, research participation, media appearances, data collection, and educational activities. The form typically incorporates both protective measures for the organization requesting consent and clear documentation of the consenting party's rights, including provisions for withdrawal of consent. It's particularly important in situations where personal data processing, image rights, or potential liability issues are involved, and must be drafted in compliance with Philippine legal requirements for consent documentation and release agreements.
Suggested Sections

1. Parties: Identifies all parties involved - the person/entity requesting consent and the person giving consent (including full legal names, addresses, and contact information)

2. Background: Brief context explaining why the consent and release is needed and what activities or information it relates to

3. Definitions: Clear definitions of key terms used in the document to ensure common understanding

4. Consent Details: Specific details of what is being consented to, including scope and purpose

5. Release Provisions: Explicit statement of what claims or rights are being released

6. Duration: Period for which the consent and release remains valid

7. Rights and Responsibilities: Outline of the rights retained by the consenting party and responsibilities of all parties

8. Revocation: Terms under which consent can be withdrawn and the process for doing so

9. Governing Law: Specification that Philippine law governs the agreement

10. Execution: Signature blocks, date, and witness provisions

Optional Sections

1. Data Privacy Statement: Detailed section on data privacy compliance when personal data processing is involved - required if form involves collection or processing of personal information

2. Medical Information Release: Specific provisions for release of medical information - required for healthcare-related consent forms

3. Minor Consent Provisions: Additional provisions when the subject is a minor, including parental/guardian consent - required when subject is under 18

4. Digital Rights: Provisions specifically addressing digital content, reproduction, and distribution - required for media-related releases

5. Compensation: Details of any payment or consideration - required if there is any form of compensation involved

6. Confidentiality: Provisions regarding confidentiality obligations - required when sensitive information is involved

7. Translation Declaration: Statement confirming translation accuracy if form is in multiple languages - required for multilingual forms

Suggested Schedules

1. Schedule A - Description of Activities: Detailed description of activities or purposes covered by the consent and release

2. Schedule B - Specific Rights Released: Itemized list of specific rights being released

3. Schedule C - Data Processing Details: Detailed information about how personal data will be collected, processed, and stored

4. Appendix 1 - Identification Documents: Copies or details of identification documents of the consenting party

5. Appendix 2 - Supporting Documentation: Any additional documents referenced in the main agreement or required for context

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 legal definitions
Relevant Industries

Healthcare

Education

Media and Entertainment

Research and Development

Financial Services

Insurance

Professional Services

Non-profit Organizations

Government Agencies

Sports and Recreation

Technology

Marketing and Advertising

Relevant Teams

Legal

Compliance

Human Resources

Research and Development

Marketing

Operations

Risk Management

Public Relations

Data Protection

Clinical Affairs

Administrative Services

Customer Relations

Corporate Communications

Relevant Roles

Legal Counsel

Compliance Officer

Data Protection Officer

Human Resources Manager

Research Coordinator

Medical Administrator

Project Manager

Marketing Director

Content Producer

Risk Manager

Education Administrator

Clinical Trial Coordinator

Public Relations Manager

Insurance Underwriter

Operations Manager

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

Vehicle Release Form From Police Department

An official Philippine National Police document authorizing and recording the release of an impounded vehicle to its verified owner or representative under Philippine law.

find out more

Simple Photo Consent Form

A Philippine-compliant Photo Consent Form for authorized photograph capture and usage, aligned with local privacy and data protection laws.

find out more

Release Of Personal Information Consent Form

A Philippine-compliant consent form for the collection and processing of personal information under the Data Privacy Act of 2012.

find out more

Psychiatric Release Of Information Form

A Philippine-compliant legal form authorizing the release of psychiatric and mental health information, ensuring patient privacy protection while facilitating necessary medical information sharing.

find out more

Medical Release Of Liability

A Philippine-compliant liability waiver for medical procedures that protects healthcare providers while ensuring patient rights and informed consent.

find out more

Medical Release Information

A Philippine-compliant authorization document for the release of medical information, aligned with local data privacy and healthcare regulations.

find out more

Photo Release Authorization Form

A Philippine law-compliant authorization form granting permission to use and distribute photographs of an individual, ensuring compliance with local privacy and data protection regulations.

find out more

Return To Work Medical Release Form

A Philippine-compliant medical release form documenting an employee's fitness to return to work after medical leave, including necessary clearances and work modifications.

find out more

Consent For Release

A Philippine law-governed document authorizing the release and sharing of personal information in compliance with the Data Privacy Act.

find out more

Motor Vehicle Record Disclosure And Release Form

A Philippine-compliant form for authorizing and requesting the release of motor vehicle records from the Land Transportation Office (LTO).

find out more

Information Release

A Philippine law-governed agreement establishing terms for controlled information sharing between parties, ensuring compliance with local data privacy regulations.

find out more

Generic Waiver Form

A Philippine law-compliant document where one party voluntarily waives specific legal rights or claims against another party, providing legal protection and risk management.

find out more

Dental X Ray Release Form

A Philippine-compliant consent and authorization form for dental X-ray procedures, ensuring legal and regulatory compliance while protecting patient rights and data privacy.

find out more

Consent Form For Release Of Information

A Philippine-compliant legal document authorizing the collection, processing, and sharing of personal information under the Data Privacy Act of 2012.

find out more

Caregiver Medical Release Form

A Philippine-compliant legal document authorizing caregivers to make medical decisions and access healthcare information for their care recipients.

find out more

Authorization For Release Of Records Form

A Philippine-compliant authorization form for the legal release and transfer of records between parties, adhering to local data privacy laws and regulations.

find out more

Authorization For Disclosure

A Philippine law-compliant document authorizing the controlled disclosure of specific information between designated parties while ensuring data privacy protection.

find out more

Universal Release Of Information Form

A Philippine-compliant legal form authorizing the release and sharing of personal information, aligned with the Data Privacy Act of 2012.

find out more

Transcript Release Authorization Form

A Philippine-compliant authorization form for the release of academic transcripts, meeting local data privacy and educational requirements.

find out more

Release Of Financial Obligation Form

A Philippine law-compliant document that formally releases a debtor from their financial obligations to a creditor, providing legal finality to debt settlement.

find out more

Publicity Consent Form

A Philippine law-compliant consent form authorizing the use of an individual's image and personal attributes for publicity purposes, incorporating local data privacy requirements.

find out more

Patient Release Form

A Philippine-compliant legal document that formalizes patient discharge from medical facilities, including care instructions and liability provisions.

find out more

Patient Authorization For Disclosure Of Health Information

A Philippine-compliant authorization form for the disclosure of patient health information, meeting Data Privacy Act requirements.

find out more

Authorization To Release Loan Information Form

A Philippine-compliant authorization form for the release of loan information to specified third parties, meeting local banking and data privacy requirements.

find out more

Authorization For Release Of Medical Record Information

A Philippine-compliant authorization form for the release of medical records, meeting Data Privacy Act requirements and healthcare regulations.

find out more

Release Of Health Information Form

A Philippine-compliant authorization form for the release of protected health information, aligned with the Data Privacy Act and healthcare regulations.

find out more

Doctor Release Form To Return To Work

A Philippine-compliant medical certification document authorizing an employee's return to work after medical leave, including any necessary workplace restrictions or accommodations.

find out more

Online Medical Consent Form

A Philippines-compliant online medical consent form for documenting patient authorization for medical procedures and treatments in digital format.

find out more

Employee Medical Release Form

A Philippine-compliant form authorizing employers to access and handle specific employee medical information while ensuring data privacy protection.

find out more

Consent To Disclose Medical Information

A Philippine law-compliant document authorizing the disclosure of specified medical information from one party to another, ensuring compliance with data privacy and healthcare regulations.

find out more

Consent Form To Disclose Medical Information

A Philippine-compliant consent form for authorizing the disclosure of patient medical information, aligned with local data privacy laws and healthcare regulations.

find out more

Release Of Liability Form For Dental Treatment

A Philippine-law governed liability release form for dental procedures that establishes patient informed consent and protects dental practitioners while ensuring compliance with local healthcare regulations.

find out more

Authorization To Release Documents

A Philippine-compliant legal document authorizing the release of specified documents to designated parties, including privacy protections and notarization requirements.

find out more

Legal Medical Consent Form

A Philippine-compliant legal document recording patient informed consent for medical procedures, ensuring compliance with local healthcare regulations and protecting both patient and provider rights.

find out more

Medical Release Waiver

A Philippine-compliant medical release and consent document that protects healthcare providers while ensuring patient rights and informed consent for medical procedures.

find out more

Counseling Release Form

A Philippine-compliant legal document establishing the counseling relationship between mental health professional and client, including service terms, confidentiality, and liability releases.

find out more

Student Release Form

A legal document used in Philippine educational institutions to obtain parental/guardian authorization for student activities, compliant with local education and child protection laws.

find out more

Promissory Note Release

A Philippine law-governed document that formally releases a debtor from their obligations under a promissory note, providing legal evidence of debt satisfaction.

find out more

Patient Disclosure Authorization Form

A Philippine-compliant authorization form for the disclosure of patient medical information, ensuring protected and controlled sharing of healthcare data while maintaining patient privacy rights.

find out more

Medication Release Form

A Philippine-compliant legal form authorizing and documenting the release of medication from healthcare providers to patients, ensuring proper dispensing documentation and patient safety.

find out more

General Authorization For Release Of Information

A Philippine law-compliant authorization document enabling controlled release of information under Data Privacy Act guidelines.

find out more

Fitness Liability Waiver Form

A Philippine-compliant liability waiver form for fitness facilities that protects operators while ensuring participant awareness of activity risks.

find out more

Image Consent Form

A Philippine-compliant legal document governing the consent for capturing and using an individual's images, aligned with the Data Privacy Act of 2012.

find out more

Authorization To Share Information

A Philippine law-compliant document authorizing the controlled sharing of specified information between designated parties, governed by the Data Privacy Act of 2012.

find out more

Medical Photo Consent Form

A Philippine-compliant Medical Photo Consent Form for healthcare providers to obtain patient authorization for medical photography while ensuring data privacy protection.

find out more

Legal Release Document

A Philippine-law governed document that formally releases legal rights or claims between parties, typically used in dispute resolution or risk management contexts.

find out more

Release Of Information Form Mental Health

A Philippine-compliant authorization form for the release of mental health records and information, meeting requirements under the Mental Health Act and Data Privacy Act.

find out more

Revocation Of Authorization To Disclose Health Information

A Philippine-compliant legal document used to withdraw previous authorization for sharing health information, adhering to local privacy laws and healthcare regulations.

find out more

Image Consent Release Form

A Philippine law-compliant consent form for image usage rights, incorporating data privacy requirements and usage terms.

find out more

Authorization To Disclose

A Philippine law-compliant authorization document that permits the disclosure of specified information between authorized parties, governed by the Data Privacy Act of 2012.

find out more

Participant Release Form

A Philippine-law governed release form securing participant consent and liability waiver for events/activities, compliant with local data privacy and consent requirements.

find out more

Video Release Consent Form

A Philippine-compliant consent form for video recording and usage rights, ensuring legal protection for both content creators and subjects under local privacy laws.

find out more

Customer Release Form

A Philippine law-compliant release form that protects businesses from liability while ensuring fair treatment of customers under local consumer protection laws.

find out more

Gym Disclaimer Form

A legal disclaimer form for Philippine gym facilities that outlines member risks, health declarations, and liability limitations while complying with local laws.

find out more

Final Release Form

A legally binding document under Philippine law that provides a comprehensive release of claims between parties in exchange for consideration.

find out more

Release Of Information

A Philippine law-compliant document authorizing the disclosure of specific personal or confidential information between parties, governed by the Data Privacy Act of 2012.

find out more

Release Of Liability

A Philippine law-compliant agreement that releases parties from liability for specific activities or circumstances, subject to civil law requirements.

find out more

Data Release Form

A Philippine-compliant legal document governing the authorized release and transfer of data between parties, ensuring compliance with the Data Privacy Act of 2012.

find out more

Consent Letter To Release Medical Information

A Philippine-compliant authorization letter allowing the release of medical information from one party to another, following local data privacy and healthcare regulations.

find out more

Consent Form To Share Information

A Philippine law-compliant form documenting authorization for sharing personal information between specified parties, governed by the Data Privacy Act of 2012.

find out more

Paycheck Release Form

A Philippine-compliant document that formally records and acknowledges salary payments and deductions between employer and employee.

find out more

Patient Information Release Form

A Philippine-compliant legal form authorizing the release of patient medical information between specified parties, adhering to local privacy and healthcare regulations.

find out more

Hospital Discharge Form

A Philippine-compliant medical-legal document recording patient discharge details, treatment summary, and post-hospital care instructions, aligned with local healthcare regulations.

find out more

Participation Waiver Form

A Philippine-compliant waiver form obtaining participant's acknowledgment of risks and release of liability for specified activities, with provisions for participant protection and organizational risk management.

find out more

Babysitter Medical Consent Form

A Philippine-compliant legal document authorizing a babysitter to make medical decisions for a minor in the parents' absence.

find out more

Authorization Letter To Release Information

A Philippine-compliant formal document that authorizes specific parties to access and release designated information, subject to local privacy laws and documentation requirements.

find out more

Standard Medical Release Form

A Philippine-compliant legal form authorizing the release and transfer of medical records and health information between specified parties, governed by local healthcare and privacy laws.

find out more

Standard Medical Consent Form

A Philippine-compliant medical consent form documenting informed consent between healthcare providers and patients for medical procedures.

find out more

Release Request Form

A Philippine-compliant document used to formally request and authorize the release of specific items, information, or documents, incorporating necessary legal protections and authorizations.

find out more

Personal Release And Consent Form

A Philippine law-compliant consent form for authorized collection and processing of personal information under RA 10173 (Data Privacy Act).

find out more

Motor Vehicle Accident Release Form

A Philippine jurisdiction release form for settling motor vehicle accident claims, providing comprehensive release of liability in exchange for agreed compensation.

find out more

New Release Form

A Philippine law-compliant document facilitating the formal transfer of rights and permissions between parties, incorporating local data privacy and consent requirements.

find out more

Minor Consent To Treat Form

A Philippine-compliant legal form authorizing healthcare providers to deliver medical treatment to minors with parental/guardian consent.

find out more

Medical Records Authorization Form

A Philippine-compliant legal document authorizing the release of patient medical records to specified parties, adhering to local data privacy and healthcare regulations.

find out more

Injury Release Form

A Philippine-compliant legal waiver protecting businesses against liability claims for voluntary participation in risk-bearing activities.

find out more

Individual Release Form

A Philippine-compliant legal document securing permission to use an individual's image, likeness, or personal content, aligned with local data privacy laws.

find out more

Generic Printable Medical Records Release Authorization Form

A Philippine-compliant authorization form for the release of medical records, aligned with local privacy laws and healthcare regulations.

find out more

Employee Key Release Form

A Philippine-compliant form establishing terms and accountability for employee custody of company keys and access devices.

find out more

Video Consent And Release Form

A Philippine-compliant legal form securing consent for video recording and usage rights, ensuring adherence to local privacy laws and data protection requirements.

find out more

Vehicle Release Form Towing

A Philippine-compliant legal form documenting the release of a towed vehicle from impound back to its owner or authorized representative.

find out more

Temporary Guardian Medical Release Form

A Philippine-compliant legal form authorizing temporary guardianship for medical decisions regarding a minor child.

find out more

Simple Release Form

A Philippine law-compliant document where one party releases another from specific claims, rights, or legal obligations.

find out more

Simple Medical Consent Form

A Philippine-compliant medical consent form for documenting patient authorization for medical procedures and treatments.

find out more

Physical Therapy Release Form

A Philippine-compliant release form for physical therapy services that covers patient consent, liability considerations, and privacy requirements under local healthcare laws.

find out more

Mental Health Records Release Form

A Philippine-compliant authorization form for the release of mental health records, ensuring secure and legal transfer of confidential mental health information while protecting patient privacy rights.

find out more

Medical Release Form To Return To Work

A Philippine-compliant document certifying an employee's medical fitness to return to work after health-related absence, including any necessary workplace accommodations.

find out more

Medical Release Form For Family Members

A Philippine-compliant legal form authorizing family members to access and receive a patient's medical information while ensuring data privacy protection.

find out more

Medical Release Consent Form

A Philippine-compliant consent form authorizing the release of patient medical records and information, aligned with local privacy and healthcare regulations.

find out more

Legal Release Form

A Philippine law-governed document that formally releases legal rights or claims between parties, requiring proper execution and notarization under local jurisdiction.

find out more

Hospital Release Form

A Philippine-compliant legal document formalizing patient discharge from hospital care, including medical clearance, care instructions, and liability provisions.

find out more

Impound Release Form

A Philippine legal document authorizing the release of an impounded vehicle upon satisfaction of all requirements and payments under local transportation laws.

find out more

Dental Release Form

A Philippine-compliant dental consent and liability release form used for dental procedures, adhering to local healthcare and data privacy regulations.

find out more

Dental Photo Consent Form

A Philippine-compliant consent form for taking and using dental photographs, ensuring patient privacy rights and proper medical documentation under local regulations.

find out more

Dental Patient Release Form

A Philippine-compliant legal form for obtaining patient consent and releasing liability for dental procedures, aligned with local healthcare regulations.

find out more

Actor Release Form

A Philippine-law compliant legal document that grants production companies permission to record and use an actor's performance, image, and likeness across specified media platforms.

find out more

Work Release Form From Doctor

A Philippine-compliant medical clearance document certifying an employee's fitness to return to work, including any necessary work modifications or restrictions.

find out more

Lien Statement

A Philippine law-compliant document that formally declares and establishes a creditor's security interest in a debtor's property, serving as official notice and record of the lien claim.

find out more

Authorization For Release Of Information Authorized Representative

A Philippine-law compliant authorization document allowing an appointed representative to access and obtain information on behalf of an individual.

find out more

Physician Medical Release Form

A Philippine-compliant authorization form for the release of medical records from healthcare providers to specified recipients, adhering to local privacy and healthcare regulations.

find out more

Authorization To Release

A Philippine-compliant legal document authorizing the release of specific information or documents from one party to another, subject to data privacy laws.

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.