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1. Parties: Identification of the employer and employee, including full names, identification numbers, and contact details
2. Background: Brief explanation of why medical information is required in the employment context and the purpose of the consent form
3. Definitions: Clear definitions of key terms including 'medical information', 'processing', 'consent', 'medical testing', and other relevant terms
4. Purpose of Collection: Detailed explanation of why medical information is being collected and how it will be used
5. Scope of Consent: Specific details of what medical information will be collected and processed
6. Information Storage and Security: Description of how medical information will be stored, protected, and who will have access to it
7. Duration of Consent: Period for which the consent remains valid and circumstances under which it may be withdrawn
8. Employee Rights: Statement of employee's rights regarding their medical information, including right to access, correct, and withdraw consent
9. Declaration: Confirmation that the employee understands and voluntarily agrees to the consent provisions
1. Specific Medical Conditions: Section for disclosure of specific medical conditions relevant to the job role (used when position requires specific health requirements)
2. Emergency Contact Authorization: Authorization to contact specified persons in case of medical emergency (used when workplace has higher safety risks)
3. Occupational Health Examinations: Specific consent for regular occupational health examinations (used in industries requiring regular health monitoring)
4. Third Party Disclosure: Consent for sharing information with specific third parties like insurance providers or occupational health practitioners (used when third party involvement is necessary)
1. Schedule A - Types of Medical Information: Detailed list of specific medical information that may be collected and processed
2. Schedule B - Authorized Personnel: List of positions/persons authorized to access and process the medical information
3. Schedule C - Medical Testing Procedures: Description of any specific medical tests or examinations that may be required (if applicable)
4. Appendix 1 - Employee Rights Under POPIA: Detailed explanation of employee rights regarding their personal information under POPIA
Personal Information
Sensitive Personal Information
Processing
Consent
Medical Testing
Occupational Health Assessment
Medical Practitioner
Occupational Health Practitioner
Company Medical Officer
Authorized Personnel
Medical Emergency
Confidentiality
Data Security
Health Record
Medical Examination
Fitness for Duty
Medical Surveillance
Third Party
Data Subject
Information Officer
Operator
Healthcare Provider
Medical Certificate
Workplace
Special Personal Information
Medical Condition
Treatment
Health Status
Medical Information Collection
Purpose of Processing
Data Protection
Confidentiality
Information Access
Storage and Security
Third Party Disclosure
Duration and Validity
Withdrawal of Consent
Employee Rights
Medical Testing
Emergency Procedures
Record Keeping
Information Sharing
Data Retention
Privacy Protection
Medical Examination
Occupational Health
Declarations
Manufacturing
Mining
Construction
Healthcare
Chemical Industry
Transportation
Agriculture
Food Processing
Aviation
Maritime
Security Services
Emergency Services
Sports and Recreation
Education
Pharmaceuticals
Human Resources
Occupational Health and Safety
Risk Management
Compliance
Medical Services
Legal
Operations
Manufacturing
Construction
Security
Transport
Food Services
Emergency Response
Human Resources Manager
Occupational Health and Safety Officer
Risk Manager
Compliance Officer
Medical Officer
Factory Worker
Construction Worker
Mine Worker
Machine Operator
Driver
Pilot
Healthcare Worker
Security Officer
Sports Coach
Teacher
Laboratory Technician
Food Handler
Emergency Response Personnel
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