Release Of Personal Information Consent Form Template for Philippines

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Key Requirements PROMPT example:

Release Of Personal Information Consent Form

"I need a Release of Personal Information Consent Form for my medical clinic in Manila, compliant with Philippine healthcare regulations, that covers collection and processing of patient health records and allows sharing with affiliated hospitals and insurance providers."

Document background

The Release of Personal Information Consent Form is a crucial document required under Philippine law, specifically the Data Privacy Act of 2012, whenever organizations collect and process personal information. This document is essential for businesses and organizations operating in the Philippines to demonstrate compliance with data privacy regulations and obtain explicit consent from individuals before handling their personal data. The form should be used whenever collecting personal information for purposes such as employment, service provision, membership, or any other activity requiring personal data processing. It typically includes details about data collection purposes, processing methods, storage duration, sharing protocols, and the rights of data subjects. The document serves as both a legal protection for organizations and an informational tool for individuals, ensuring transparency in data handling practices.

Suggested Sections

1. Parties: Identification of the Data Subject (person providing consent) and the Data Controller/Processor (organization collecting the information)

2. Background: Brief context explaining the purpose of the consent form and the relationship between the parties

3. Definitions: Clear definitions of key terms used in the document, including 'personal information', 'processing', 'consent', etc.

4. Purpose of Data Collection: Specific explanation of why the personal information is being collected and how it will be used

5. Types of Personal Information: Detailed list of the specific personal information being collected

6. Data Processing Activities: Description of how the personal information will be processed, stored, and protected

7. Data Sharing and Disclosure: Information about third parties who may have access to the data and circumstances under which data may be shared

8. Data Subject Rights: Enumeration of the rights of the data subject under the Data Privacy Act

9. Duration of Consent: Period for which the consent remains valid and conditions for withdrawal

10. Declaration and Signature: Formal declaration of consent and space for signatures of all parties

Optional Sections

1. Special Categories of Data: Additional section required when collecting sensitive personal information such as health records, religious beliefs, or genetic data

2. International Data Transfers: Required when personal information may be transferred outside the Philippines

3. Minor's Consent: Additional section needed when the data subject is under 18, requiring parental/guardian consent

4. Marketing Communications: Optional section for specific consent to use personal information for marketing purposes

5. Photography/Video Consent: Additional section when collecting and using photographic or video content of the data subject

6. Emergency Contact Information: Optional section for collecting and processing emergency contact details

Suggested Schedules

1. Schedule A - Types of Personal Information: Detailed categorization and list of all personal information to be collected

2. Schedule B - Third Party Recipients: List of third parties who may receive or process the personal information

3. Schedule C - Security Measures: Description of technical and organizational measures to protect personal information

4. Appendix 1 - Data Subject Rights Guide: Detailed explanation of data subject rights and how to exercise them

5. Appendix 2 - Privacy Policy: Copy of the organization's privacy policy or relevant excerpts

6. Appendix 3 - Withdrawal Form: Template form for withdrawing consent

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

alex.den.21@genieai.co

Relevant legal definitions

Clauses

Relevant Industries

Healthcare

Education

Financial Services

Insurance

Real Estate

Technology

Retail

Telecommunications

Human Resources

Professional Services

Government Services

E-commerce

Tourism and Hospitality

Manufacturing

Non-profit Organizations

Relevant Teams

Legal

Compliance

Human Resources

Information Technology

Data Protection

Risk Management

Operations

Customer Service

Information Security

Records Management

Marketing

Business Development

Administration

Relevant Roles

Data Protection Officer

Compliance Manager

Human Resources Manager

Legal Counsel

Privacy Officer

Information Security Officer

Risk Management Officer

Corporate Secretary

Operations Manager

Customer Service Manager

IT Manager

Records Manager

Recruitment Manager

Marketing Manager

Business Development Manager

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Authors

Alex Denne

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