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1. Parties: Identification of the data subject (individual whose information is being released), the entity/person releasing the information, and the recipient(s) of the information
2. Background: Context for the information release, including the relationship between parties and general purpose of the release
3. Definitions: Key terms used in the document, including types of information, processing activities, and technical terms
4. Scope of Information: Detailed description of the specific information authorized for release
5. Purpose of Release: Clear statement of the specific purpose(s) for which the information will be used
6. Duration and Expiry: Time period for which the authorization is valid
7. Rights of the Data Subject: Statement of the individual's rights under the Data Privacy Act, including right to revoke consent
8. Privacy and Confidentiality: Terms regarding the handling and protection of the released information
9. Execution: Signature blocks and declaration of consent
1. Medical Information Specific Terms: Additional provisions specific to health information, required when releasing medical records or health data
2. Financial Information Terms: Special provisions for release of financial records, required when banking or financial information is involved
3. Digital Data Provisions: Specific terms for electronic information transfer, needed when information will be shared digitally
4. Third Party Disclosure: Additional terms regarding sharing with third parties, required when information may be further disclosed
5. International Transfer: Provisions for cross-border data transfer, needed when information will be sent outside the Philippines
6. Emergency Contact Authorization: Additional provisions for emergency contact information release, used in medical or emergency response contexts
1. Schedule A - Detailed Information Listing: Itemized list of specific information/documents to be released
2. Schedule B - Authorized Recipients: List of specific individuals or entities authorized to receive the information
3. Schedule C - Purpose Specifications: Detailed description of authorized uses of the information
4. Appendix 1 - Consent Forms: Specific consent forms required under Philippine law
5. Appendix 2 - Privacy Notice: Detailed privacy notice as required by the Data Privacy Act
6. Appendix 3 - Security Measures: Description of security measures for protecting the released information
Sensitive Personal Information
Data Subject
Information Custodian
Authorized Recipient
Authorized Representative
Consent
Processing
Information Release
Confidential Information
Data Privacy Act
Protected Health Information
Financial Records
Educational Records
Disclosure
Third Party
Data Protection Officer
Security Measures
Purpose of Release
Authorization Period
Revocation
Privacy Notice
Data Transfer
Digital Records
Personal Data
Electronic Documents
Records
Permitted Use
Breach
Confidentiality
Scope of Information
Purpose of Release
Duration and Termination
Data Protection and Security
Confidentiality
Rights and Obligations
Permitted Recipients
Transfer and Disclosure
Data Subject Rights
Liability and Indemnification
Governing Law
Revocation Rights
Privacy Notice
Representations and Warranties
Emergency Disclosure
Third Party Rights
Compliance with Laws
Record Keeping
Dispute Resolution
Healthcare
Banking and Finance
Education
Insurance
Legal Services
Government Services
Human Resources
Information Technology
Telecommunications
Professional Services
Legal
Compliance
Privacy
Information Security
Human Resources
Records Management
Risk Management
Medical Records
Information Technology
Operations
Quality Assurance
Data Protection Officer
Compliance Officer
Legal Counsel
Privacy Officer
Medical Records Officer
Human Resources Manager
Information Security Officer
Risk Management Officer
Records Manager
Healthcare Administrator
School Registrar
Bank Officer
Corporate Secretary
Operations Manager
Quality Assurance Manager
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