Data Release Consent Form for the United States

Data Release Consent Form Template for United States

A Data Release Consent Form is a legal document used in the United States to obtain explicit permission from individuals for the collection, use, and disclosure of their personal data. This document complies with various U.S. federal and state privacy laws, including HIPAA, FERPA, and CCPA where applicable. It outlines the specific data being collected, its intended use, the parties involved, and the rights of the data subject.

Your data doesn't train Genie's AI

You keep IP ownership of your information

Generate a Bespoke Document

1. Select your governing law:

2. Enter your key requirements:

3. Create your document to edit, review or download

Download a Standard Template

Get our United States-compliant Data Release Consent Form

4.6 / 5

4.8 / 5

Alternatively: Run an advanced review of an existing
Data Release Consent Form

Let Genie AI's market-leading legal AI identify missing terms, unusual language, compliance issues and more - in just seconds.

Upload your Doc

What is a Data Release Consent Form?

The Data Release Consent Form serves as a crucial legal instrument in the United States for organizations seeking to collect, process, or share personal data while maintaining compliance with privacy regulations. This document is essential when organizations need explicit permission to handle sensitive personal information, particularly in situations involving healthcare records, financial data, or educational information. It helps organizations demonstrate compliance with various privacy laws while providing transparency to data subjects about how their information will be used and shared.

What sections should be included in a Data Release Consent Form?

1. Identification Information: Details of the data subject and the organization receiving consent

2. Purpose Statement: Clear explanation of why the data is being collected and how it will be used

3. Data Description: Specific details of what data will be collected/released

4. Rights Statement: Description of the data subject's rights regarding their data

5. Duration: Period for which the consent is valid

6. Signature Block: Space for dated signatures and acknowledgment

What sections are optional to include in a Data Release Consent Form?

1. Third Party Disclosure: Details of any third parties who may receive the data

2. International Transfer: Information about cross-border data transfers

3. Special Category Data: Additional consents for sensitive data categories

What schedules should be included in a Data Release Consent Form?

1. Data Categories Schedule: Detailed list of specific data types being collected/released

2. Processing Activities Appendix: Detailed description of how data will be processed

3. Security Measures Appendix: Description of security measures protecting the data

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

Cost

Free to use

Relevant legal definitions

Clauses

Relevant Industries

Healthcare
Education
Financial Services
Technology
Research

Relevant Teams

Legal
Compliance
Information Security
Privacy
Research & Development
Data Management

Relevant Roles

Privacy Officer
Data Protection Officer
Compliance Manager
Legal Counsel
Research Director

Find the exact document you need

No matches found.

Military Medical Record Request Form

U.S. legal document for requesting military medical records in compliance with federal privacy laws.

How Cambridge United Uses Genie AI to Speed Up Player Signings and Slash Legal Costs

Generate a Bespoke Document

Download a Standard Template

What is a Data Release Consent Form?

What sections should be included in a Data Release Consent Form?

What sections are optional to include in a Data Release Consent Form?

What schedules should be included in a Data Release Consent Form?

Authors

Alex Denne

Jurisdiction

Publisher

Document Type

Sector

Cost

Find the exact document you need

Military Medical Record Request Form

Employment Background Check Release Form

Phi Consent Form

Phi Authorization Form

Dr Work Release Form

Police Vehicle Release Form

Authorization For Release Of Protected Health Information Phi

Form For Requesting Medical Records

Share Medical Information Form

Release Of Records Request Form

Release Of Information Statement

Release Form From Police Department

Printable Work Release Form

Military Dependent Medical Records Request Form

Medical Records Pick Up Form

Letter For Medical Records Request

Generic Dental Records Release Form

Employee Photo Consent Form Gdpr

Dental Release Of Information Form

CT Medical Records Release Form

Consent For Use And Disclosure Of Health Information Form

Authorization To Release Rental History

Authorization To Release Credit Information Form

Authorization To Disclose Medical Information Form

Authorization Release Form For Background Check

Athletic Medical Release Form

Minor Medical Treatment Authorization Form

Medical Consent Form For Temporary Guardian

Authorization For Release

Written Authorization To Release Information

Workers Comp Medical Release Form

Work Release Form Hospital

Veterinary Medical Release Form

Universal Medical Release Form

Service Release Form

Revocation Of Release Of Information Form

Release Form For Video Recording

Records Request Form Medical

Public Adjuster Release Form

Physician Medical Release Form

Genie’s Security Promise

Your documents are private:

Your documents are protected:

Organizational security:

Templates

Contract Templates

Letter Templates

Policy Templates

Industries

Legal Services

Manufacturing

Construction

Solutions

Use Cases

Company Types

Comparisons

Business Categories

Teams

Information

Generate Legal Docs Free