The Consent Form For Release Of Information is a crucial document required under South African data protection law, particularly the Protection of Personal Information Act (POPIA). This document is essential whenever an organization needs to collect, process, or share an individual's personal information with third parties. It serves as evidence that the data subject has given informed consent and understands how their information will be used. The form must specify the type of information being released, the purpose of the release, who will have access to the information, and how long the consent remains valid. It should also inform data subjects of their rights under POPIA, including the right to withdraw consent. This document is particularly important in sectors handling sensitive personal information, such as healthcare, financial services, and education, where strict compliance with privacy laws is essential.
Your data doesn't train Genie's AI
You keep IP ownership of your information
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
OR
Let Genie AI's market-leading legal AI identify missing terms, unusual language, compliance issues and more - in just seconds.
Upload your Doc
1. Details of the Parties: Identification of the data subject (person giving consent), the organization requesting consent, and any third parties who will receive the information
2. Purpose of Consent: Clear explanation of why the information is being requested and how it will be used
3. Information to be Released: Specific description of what personal information will be collected, used, or disclosed
4. Duration of Consent: Timeframe for which the consent remains valid
5. Rights of the Data Subject: Statement of rights under POPIA including right to withdraw consent, access information, and request correction or deletion
6. Data Protection Measures: Description of how the information will be protected and secured
7. Declaration and Signature: Formal declaration of consent and space for signature, date, and witness details
1. Special Personal Information: Additional section required when dealing with sensitive personal information as defined in POPIA (such as health, criminal behavior, race, or ethnicity)
2. International Transfer of Information: Required when personal information will be transferred across South African borders
3. Minor's Information: Additional section required when the data subject is under 18, including parent/guardian consent provisions
4. Financial Information Release: Specific provisions required when dealing with financial information, including FICA compliance details
5. Electronic Communication Consent: Additional section for consent to electronic communications and processing
1. Schedule A - Detailed List of Information: Comprehensive itemized list of specific information to be released
2. Schedule B - Third Party Recipients: List of all third parties who will receive the information, including their contact details and purpose
3. Schedule C - Processing Activities: Detailed description of how the information will be processed, stored, and protected
4. Appendix 1 - Withdrawal of Consent Form: Template form for withdrawing consent in the future
Relevant legal definitions
Data Subject
Personal Information
Special Personal Information
Processing
Consent
Data Controller
Data Processor
Third Party
Information Officer
Operator
Record
Filing System
De-identify
Re-identify
Direct Marketing
Biometric Information
Child
Competent Person
Data Breach
Cross-border Information Transfer
Electronic Communication
Information Matching
Responsible Party
POPIA
Data Protection Laws
Information Regulator
Authorized Recipients
Confidential Information
Permitted Purpose
Retention Period
Personal Information
Special Personal Information
Processing
Consent
Data Controller
Data Processor
Third Party
Information Officer
Operator
Record
Filing System
De-identify
Re-identify
Direct Marketing
Biometric Information
Child
Competent Person
Data Breach
Cross-border Information Transfer
Electronic Communication
Information Matching
Responsible Party
POPIA
Data Protection Laws
Information Regulator
Authorized Recipients
Confidential Information
Permitted Purpose
Retention Period
Clauses
Consent Declaration
Information Collection
Purpose Specification
Information Use
Information Disclosure
Data Subject Rights
Data Protection
Duration and Termination
Withdrawal of Consent
Cross-border Transfers
Confidentiality
Security Safeguards
Data Retention
Information Accuracy
Special Personal Information
Direct Marketing Consent
Third Party Disclosure
Electronic Communications
Data Breach Notification
Liability and Indemnification
Governing Law
Dispute Resolution
Information Collection
Purpose Specification
Information Use
Information Disclosure
Data Subject Rights
Data Protection
Duration and Termination
Withdrawal of Consent
Cross-border Transfers
Confidentiality
Security Safeguards
Data Retention
Information Accuracy
Special Personal Information
Direct Marketing Consent
Third Party Disclosure
Electronic Communications
Data Breach Notification
Liability and Indemnification
Governing Law
Dispute Resolution
Relevant Industries
Healthcare
Financial Services
Education
Insurance
Telecommunications
Retail
Human Resources
Legal Services
Government Services
Information Technology
Research and Development
Professional Services
Relevant Teams
Legal
Compliance
Human Resources
Information Security
Risk Management
Operations
Customer Relations
Data Protection
Records Management
Privacy
Information Management
Relevant Roles
Privacy Officer
Data Protection Officer
Compliance Manager
Legal Counsel
Human Resources Manager
Information Security Officer
Risk Manager
Records Manager
Healthcare Administrator
Financial Services Administrator
School Administrator
Customer Relations Manager
Operations Manager
Information Officer
POPIA Compliance Officer
Find the exact document you need
Photo Release For Social (Media)
A South African law-compliant agreement authorizing the use of photographs on social media platforms while ensuring POPIA compliance and protecting all parties' rights.
find out more
Permission To Release Medical Information Form
A South African-compliant form authorizing the release of medical information between specified parties, adhering to POPIA and healthcare regulations.
find out more
Standard Consent Form For Release Of Personal Information
A South African POPIA-compliant consent form for the collection and processing of personal information.
find out more
Consent Form For Release Of Information
A South African legal document that records an individual's consent for the collection, use, and disclosure of their personal information in compliance with POPIA.
find out more
Patient Release Form
A South African-compliant Patient Release Form documenting patient discharge from healthcare facilities, including medical instructions and legal acknowledgments.
find out more
Consent For Medical Records Release Form
A South African-compliant form authorizing the release of medical records, ensuring legal protection of patient privacy and healthcare information in accordance with POPIA and the National Health Act.
find out more
Release Of Health Information Form
A South African-compliant authorization form for the release of medical records and health information, adhering to POPIA and healthcare regulations.
find out more
Doctor Release Form To Return To Work
A South African-compliant medical certification form authorizing an employee's return to work after medical leave, including any necessary work restrictions or accommodations.
find out more
Release Waiver Agreement
A South African law-compliant agreement where participants waive certain rights and accept specified risks related to particular activities or services.
find out more
Consent To Disclose Medical Information
A South African legal document authorizing the disclosure of medical information between healthcare providers and specified third parties, compliant with POPIA and healthcare regulations.
find out more
Consent Form To Disclose Medical Information
A South African-compliant consent form for authorizing the disclosure of patient medical information, aligned with POPIA and healthcare regulations.
find out more
Consent Form For Social (Media)
South African POPIA-compliant social media consent form for managing personal information usage and content sharing on social media platforms.
find out more
3rd Party Release Form
A South African law-compliant release form for obtaining third-party consent and liability waivers, incorporating POPIA requirements and relevant local legislation.
find out more
Student Release Form
A South African legal document facilitating student withdrawal or transfer from an educational institution, ensuring compliance with local education and data protection laws.
find out more
Promissory Note Release
A South African law-compliant document that formally releases a debtor from their obligations under a promissory note, providing legal evidence of debt discharge.
find out more
Patient Disclosure Authorization Form
A South African legal form authorizing healthcare providers to disclose patient medical information to specified parties, compliant with POPIA and healthcare regulations.
find out more
Minor Release Form
A South African legal document obtaining parental/guardian consent for minor participation in activities or media usage, compliant with local child protection laws.
find out more
General Authorization For Release Of Information
A South African legal document authorizing the release of personal information in compliance with POPIA and privacy laws.
find out more
Estate Executor Release Form
A South African legal document that releases an executor from their duties after completing estate administration and receiving beneficiary confirmation of satisfactory asset distribution.
find out more
Consent To Disclose Personal Health Information Form
South African legal form for authorized disclosure of personal health information, compliant with POPIA and National Health Act requirements.
find out more
Authorization To Release Medical Information To Family Members
A South African law-compliant authorization form allowing healthcare providers to share specified medical information with designated family members, subject to POPIA and National Health Act requirements.
find out more
Audio Release Form
A South African law-compliant document that grants permission for the recording, use, and distribution of audio content while protecting all parties' rights.
find out more
Medical Treatment Authorization And Consent Form
A South African healthcare document authorizing medical treatment and procedures while ensuring compliance with national health regulations and patient rights protection.
find out more
Release Of Information Form Mental Health
A South African-compliant form authorizing the release of mental health records and information, ensuring patient privacy rights under local legislation.
find out more
Medical Treatment Release Form
A South African healthcare consent form that documents patient authorization for medical treatment while ensuring compliance with local healthcare laws and regulations.
find out more
Key Release Form
A South African legal document that formalizes the transfer of keys or access devices, establishing terms and conditions for key possession and return while ensuring compliance with local property and security regulations.
find out more
Paycheck Release Form
A South African compliant form documenting and confirming wage payment from employer to employee, including payment details and legal acknowledgments.
find out more
Medical Records Form
A South African-compliant medical records form for collecting and managing patient healthcare information, adhering to National Health Act and POPIA requirements.
find out more
Participation Waiver Form
A South African legal document that establishes risk acknowledgment and liability waiver between activity providers and participants, compliant with local consumer protection laws.
find out more
Consent To Share Information
A South African law-compliant document that establishes consent for sharing personal information under POPIA requirements.
find out more
Reference Release Authorization Form
A South African law-compliant authorization form enabling former employers to provide reference information about an individual to specified parties.
find out more
Printing Release Form
A South African law-compliant document granting authorization for printing and reproducing content, establishing terms between content owners and printers.
find out more
Personal Release And Consent Form
A South African legal document for obtaining informed consent for the collection and processing of personal information, compliant with POPIA and local privacy laws.
find out more
Online Photo Consent Form
South African POPIA-compliant online photo consent form for lawful collection and usage of photographic personal information.
find out more
Minor Consent To Treat Form
A South African legal document for parental/guardian consent to medical treatment of minors, compliant with local healthcare and child protection legislation.
find out more
Employment Background Check Consent Form
A South African legal document for obtaining candidate/employee consent for background checks, compliant with POPIA and local employment laws.
find out more
Employee Key Release Form
A South African compliant form establishing terms and responsibilities for employee key and access device management, aligned with local labor and security regulations.
find out more
Video Consent And Release Form
A South African law-compliant consent form for video recording and usage rights, ensuring POPIA compliance and protecting all parties' interests.
find out more
Temporary Guardian Medical Release Form
A South African legal document authorizing a temporary guardian to make medical decisions for a minor child when parents/legal guardians are unavailable.
find out more
Simple Release Form
A South African legal document that releases one party from liability or obligations to another, governed by local contract law and consumer protection legislation.
find out more
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
We are ISO27001 certified, so your data is secure
Organizational security:
You retain IP ownership of your documents and their information
You have full control over your data and who gets to see it
.png)
.png)