Your data doesn't train Genie's AI
You keep IP ownership of your information
1. Patient Information: Essential identifying information including full name, ID number, date of birth, address, and contact details of the patient
2. Emergency Contacts: Names and contact details of primary and secondary emergency contacts who should be notified in case of emergency
3. Medical Aid Information: Details of medical aid scheme, membership number, and primary member information if different from patient
4. General Authorization: Primary authorization clause giving healthcare providers permission to administer emergency medical treatment
5. Scope of Authorization: Specific details about what types of emergency treatments and procedures are authorized
6. Financial Responsibility: Acknowledgment of financial obligations and agreement to pay for services rendered
7. Duration and Validity: Period for which the authorization remains valid and conditions for renewal
8. Signatures and Declarations: Space for relevant signatures, including patient or authorized representative, witness, and date
1. Minor Patient Authorization: Additional section required when the patient is under 18, including parental/guardian consent details and relevant legal provisions under the Children's Act
2. Mental Health Considerations: Special provisions when the patient has mental health conditions that may affect decision-making capacity, as per Mental Health Care Act
3. Religious or Cultural Preferences: Specific instructions regarding treatment preferences based on religious or cultural beliefs
4. Proxy Decision Maker: Designation of a specific person to make medical decisions if the patient becomes incapacitated
5. International Travel Provisions: Additional authorizations and requirements for treatment while traveling internationally
1. Schedule A: Medical History Form: Detailed medical history including allergies, current medications, chronic conditions, and previous surgeries
2. Schedule B: Specific Procedures Authorization: List of specific high-risk procedures that require explicit authorization
3. Schedule C: Hospital Preference List: List of preferred hospitals and medical facilities for emergency treatment
4. Appendix 1: Information Release Authorization: Specific authorization for release of medical information to designated parties
5. Appendix 2: Copy of Identity Document: Certified copy of patient's ID document or passport
Healthcare Provider
Medical Practitioner
Authorized Representative
Legal Guardian
Medical Aid Scheme
Emergency Contact
Medical Facility
Treatment
Capacity
Informed Consent
Life-threatening Condition
Medical Emergency
Next of Kin
Personal Information
Protected Health Information
Proxy Decision Maker
Reasonable Care
Urgent Care
Valid Period
Mental Capacity
Minor
Medical Aid Benefits
Healthcare Services
Witness
Authorized Signature
Medical Records
Emergency Response Personnel
Primary Care Provider
Specialist Medical Practitioner
Consent
Medical Information
Financial Responsibility
Liability
Confidentiality
Data Protection
Emergency Contact
Medical Aid Coverage
Duration and Validity
Revocation Rights
Information Disclosure
Patient Rights
Healthcare Provider Rights
Treatment Scope
Religious/Cultural Preferences
Minor Consent
Mental Health Provisions
Record Keeping
Dispute Resolution
Governing Law
Witness Requirements
Amendment Provisions
Termination
Healthcare
Emergency Services
Medical Insurance
Education (for student health services)
Sports and Recreation
Corporate (for workplace medical emergencies)
Tourism and Hospitality
Mining and Industrial
Aged Care
Child Care
Legal
Compliance
Risk Management
Human Resources
Medical Services
Emergency Response
Patient Administration
Health and Safety
Employee Wellness
Clinical Governance
Medical Director
Hospital Administrator
Legal Counsel
Compliance Officer
Risk Manager
Emergency Room Physician
School Nurse
Occupational Health Manager
Human Resources Manager
Medical Aid Administrator
Healthcare Facility Manager
Sports Team Doctor
Company Doctor
Employee Wellness Coordinator
Patient Rights 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.
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.
Standard Consent Form For Release Of Personal Information
A South African POPIA-compliant consent form for the collection and processing of personal information.
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.
Patient Release Form
A South African-compliant Patient Release Form documenting patient discharge from healthcare facilities, including medical instructions and legal acknowledgments.
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.
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.
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.
Release Waiver Agreement
A South African law-compliant agreement where participants waive certain rights and accept specified risks related to particular activities or services.
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.
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.
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.
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.
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.
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.
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.
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.
General Authorization For Release Of Information
A South African legal document authorizing the release of personal information in compliance with POPIA and privacy laws.
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.
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.
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.
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.
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.
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.
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.
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.
Paycheck Release Form
A South African compliant form documenting and confirming wage payment from employer to employee, including payment details and legal acknowledgments.
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.
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.
Consent To Share Information
A South African law-compliant document that establishes consent for sharing personal information under POPIA requirements.
Reference Release Authorization Form
A South African law-compliant authorization form enabling former employers to provide reference information about an individual to specified parties.
Printing Release Form
A South African law-compliant document granting authorization for printing and reproducing content, establishing terms between content owners and printers.
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.
Online Photo Consent Form
South African POPIA-compliant online photo consent form for lawful collection and usage of photographic personal information.
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.
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.
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.
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.
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.
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.
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)