Consent To Disclose Form for South Africa

Consent To Disclose Form Template for South Africa

This document serves as a formal authorization for the disclosure of personal information under South African law, particularly in compliance with the Protection of Personal Information Act (POPIA). It provides a structured framework for obtaining explicit consent from individuals (data subjects) for the sharing of their personal information with specified recipients. The document includes detailed provisions for the scope of information to be shared, the purpose of disclosure, duration of consent, and the rights of the data subject, ensuring all parties involved understand their obligations and responsibilities under South African data protection legislation.

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.

Download a Standard Template

4.6 / 5
4.8 / 5
Access for free
OR

Alternatively: Run an advanced review of an existing
Consent To Disclose 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 Consent To Disclose Form?

The Consent To Disclose Form is a critical 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 share personal information about an individual with third parties. The form must be used to obtain explicit, informed consent from the data subject before any disclosure can occur. It typically includes specific details about what information will be shared, with whom, for what purpose, and for how long the consent remains valid. The document is designed to protect both the rights of individuals and ensure organizations comply with their legal obligations when handling personal information. This form is particularly important in contexts involving sensitive personal information or where multiple parties need access to personal data.

What sections should be included in a Consent To Disclose Form?

1. Details of Data Subject: Full identification and contact details of the person whose information will be disclosed

2. Details of Responsible Party: Information about the organization/entity currently holding the information

3. Details of Recipient(s): Identity and contact details of all parties who will receive the information

4. Information to be Disclosed: Specific description of the personal information to be disclosed

5. Purpose of Disclosure: Clear statement of why the information is being disclosed and how it will be used

6. Duration of Consent: Period for which the consent remains valid

7. Rights of the Data Subject: Statement of rights including withdrawal of consent and consequences thereof

8. Declaration and Signature: Formal declaration of understanding and consent, with signature blocks

What sections are optional to include in a Consent To Disclose Form?

1. Special Personal Information Clause: Additional provisions when disclosure involves special personal information as defined in POPIA (race, health, criminal behavior, etc.)

2. Third Party Processing: Additional provisions when information will be processed by third parties beyond the immediate recipient

3. Cross-Border Transfer Provisions: Required when personal information will be transferred outside South Africa

4. Guardian Consent: Required when the data subject is a minor or legally incompetent person

5. Specific Industry Requirements: Additional provisions required by specific industries (e.g., medical, financial services, employment)

What schedules should be included in a Consent To Disclose Form?

1. Schedule A - Details of Information: Detailed list of specific information/documents to be disclosed

2. Schedule B - Recipient List: If multiple recipients, detailed list with contact information and purposes

3. Schedule C - Processing Activities: Detailed description of how the information will be processed, stored, and protected

4. Appendix 1 - Proof of Identity: Copies of identity documents of the data subject and/or their representative

5. Appendix 2 - Supporting Documentation: Any additional documentation required to support the consent (e.g., power of attorney, court orders)

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

Jurisdiction

South Africa

Publisher

Genie AI

Cost

Free to use
Relevant Industries

Healthcare

Financial Services

Insurance

Education

Human Resources

Legal Services

Telecommunications

Banking

Real Estate

Professional Services

Government Services

Retail

Technology

Relevant Teams

Legal

Compliance

Human Resources

Risk Management

Data Protection

Information Security

Operations

Customer Service

Records Management

Privacy

Administration

Relevant Roles

Information Officer

Data Protection Officer

Compliance Manager

Legal Counsel

Privacy Officer

HR Manager

Risk Manager

Compliance Officer

Records Manager

Company Secretary

Operations Manager

Customer Service Manager

Healthcare Administrator

Financial Advisor

Insurance Agent

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

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
See more related templates

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

2 Docs LeftAccess Now