Consent Statement Template for Philippines

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Key Requirements PROMPT example:

Consent Statement

"I need a Consent Statement for my healthcare clinic in Manila that will be effective from March 2025, covering collection of patient medical data and sharing with affiliated hospitals, compliant with Philippine healthcare privacy regulations."

Document background
This Consent Statement template is designed for use in the Philippines, where organizations must comply with the Data Privacy Act of 2012 and its Implementing Rules and Regulations. The document is essential for any organization collecting and processing personal data, serving as a formal record of informed consent from data subjects. It should be used whenever collecting personal information from individuals and must clearly outline the purpose of data collection, intended use, storage methods, and the rights of data subjects. The Consent Statement must be written in clear, understandable language and should include specific provisions required by Philippine privacy laws, including data subject rights, data retention periods, and security measures implemented to protect personal information.
Suggested Sections

1. Title and Date: Clear identification of the document as a consent statement and the date of execution

2. Identity of Parties: Identification of the data controller/organization collecting consent and the data subject

3. Purpose of Processing: Clear explanation of why the personal data is being collected and how it will be used

4. Data Collection Details: Specific list of personal data that will be collected and processed

5. Processing Methods: Description of how the personal data will be processed and stored

6. Data Subject Rights: Statement of rights under the Data Privacy Act, including right to access, correction, and deletion

7. Data Retention Period: Clear statement of how long the data will be retained

8. Data Security Measures: Overview of measures taken to protect the personal data

9. Declaration of Consent: Clear statement of consent with signature block or electronic confirmation mechanism

Optional Sections

1. Third Party Disclosure: Required when personal data will be shared with third parties, listing specific third parties and purposes

2. International Data Transfers: Required when data will be transferred outside the Philippines

3. Special Categories of Data: Required when collecting sensitive personal information as defined in the Data Privacy Act

4. Marketing Consent: Required when data will be used for marketing purposes

5. Automated Decision Making: Required when personal data will be used in automated decision-making processes

6. Parent/Guardian Consent: Required when collecting data from minors under 18 years old

7. Withdrawal Procedure: Detailed procedure for withdrawing consent, required for complex processing operations

Suggested Schedules

1. Privacy Policy Reference: Full privacy policy or link to the organization's complete privacy policy

2. Data Processing Activities: Detailed list of specific data processing activities and purposes

3. Third Party Processors: Complete list of third-party data processors and their roles

4. Security Measures: Detailed description of technical and organizational security measures

5. Contact Information: Detailed contact information for the Data Protection Officer and privacy-related inquiries

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

Technology

Retail

E-commerce

Insurance

Telecommunications

Human Resources

Marketing and Advertising

Professional Services

Government Services

Travel and Hospitality

Real Estate

Relevant Teams

Legal

Compliance

Privacy

Information Security

Risk Management

Human Resources

Information Technology

Marketing

Operations

Customer Service

Data Protection

Relevant Roles

Data Protection Officer

Privacy Officer

Compliance Manager

Legal Counsel

Information Security Officer

Risk Manager

Human Resources Manager

Marketing Director

IT Manager

Operations Manager

Customer Service Manager

Chief Privacy Officer

Chief Compliance Officer

Chief Legal Officer

Data Protection Specialist

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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