Your data doesn't train Genie's AI
You keep IP ownership of your information
1. Patient Information: Full name, ID number, date of birth, contact details, and medical aid details (if applicable) of the patient whose records are being accessed
2. Healthcare Provider Details: Name, practice number, and contact information of the healthcare provider(s) who holds the medical records
3. Recipient Information: Details of the person/entity being granted access to the medical records
4. Scope of Consent: Clear specification of which medical records are being made accessible (including date ranges and types of records)
5. Purpose Statement: Explicit statement of why access is being granted and how the information will be used
6. Duration of Consent: Time period for which the consent remains valid
7. Rights Statement: Statement of the patient's rights, including the right to revoke consent
8. Authentication: Date, signature of the patient, and witness signatures
1. Legal Guardian Authorization: Required when the patient is a minor or legally incompetent - includes guardian's details and basis of authority
2. Specific Restrictions: Any limitations or specific exclusions on what information can be accessed
3. Third Party Disclosure Consent: Additional consent for sharing information with other specified parties
4. Emergency Contact: Details of emergency contact person - relevant in medical emergency situations
5. Special Instructions: Any specific instructions regarding how or when the information can be accessed
1. Copy of Identity Document: Certified copy of the patient's ID document
2. Proof of Authority: Legal documentation proving authority (for guardians or authorized representatives)
3. Medical Aid Certificate: Copy of medical aid card/details if relevant to the purpose of access
4. List of Healthcare Providers: Comprehensive list of healthcare providers covered by the consent, if multiple providers are involved
Healthcare Provider
Authorized Representative
Personal Information
Special Personal Information
Consent
Access Period
Medical Information
Healthcare Facility
Patient
Third Party
Processing
Health Record
Confidential Information
POPIA
Data Subject
Medical Aid Scheme
Healthcare Professional
Practice Number
Identity Document
Legal Guardian
Minor
Record
Responsible Party
Electronic Health Record
Clinical Notes
Test Results
Diagnostic Information
Treatment History
Revocation
Healthcare
Medical Insurance
Legal Services
Healthcare Administration
Medical Research
Pharmaceuticals
Occupational Health
Employee Benefits
Social Services
Legal
Compliance
Medical Records
Patient Administration
Insurance Claims
Risk Management
Human Resources
Clinical Research
Privacy & Data Protection
Medical Administration
Medical Administrator
Healthcare Facility Manager
Legal Compliance Officer
Medical Records Manager
Insurance Claims Processor
Healthcare Attorney
Privacy Officer
Medical Secretary
Clinical Research Coordinator
Human Resources Manager
Occupational Health Manager
Medical Aid Administrator
Patient Relations Manager
Healthcare Risk Manager
Find the exact document you need
Travel Consent Form For Minor Traveling With Friends
A South African legal document providing parental authorization for a minor to travel with non-guardian adults, meeting national immigration and child protection requirements.
Letter Of Consent To Travel Internationally
A legally required South African document providing parental/guardian consent for a minor's international travel, complying with strict national regulations for child protection.
Authorization Letter For Minor Passport Renewal
A South African legal document providing parental/guardian authorization for minor passport renewal, compliant with Department of Home Affairs requirements.
Parent Permission Letter For Medical Treatment
A South African legal document authorizing healthcare providers to administer medical treatment to a minor in the parent/guardian's absence.
Letter Of Consent For (Construction)
A South African legal document providing formal authorization for construction work on a specific property, in compliance with national building regulations and local bylaws.
Letter Of Permission To Travel With Grandparents
A South African legal document granting parental permission for grandparents to travel with minor children, complying with national child travel regulations and immigration requirements.
Consent Letter To Builder
A South African legal document granting formal permission from a property owner to a builder for conducting specified construction work.
Consent Letter For Director Appointment
A formal letter under South African law documenting an individual's consent to serve as a company director and their compliance with legal requirements.
Letter To Give Permission For Medical Care
A South African legal document authorizing healthcare providers to administer medical care to a designated individual in accordance with national healthcare laws.
Travel Consent Letter For Divorced Parents
A South African legal document providing authorization from one divorced parent for their child to travel with the other parent, complying with local immigration and child protection laws.
Letter Of Consent For Bank Account
A South African regulatory-compliant document that authorizes specific banking activities or access to bank account information, meeting local banking and FICA requirements.
Letter Of Authority To Travel
A South African legal document granting authorization for a minor to travel domestically or internationally, either alone or with specified adults, in compliance with national immigration regulations and child protection laws.
Consent Letter For Car Insurance Transfer
A South African legal document providing formal consent for transferring vehicle insurance coverage from one policyholder to another, in compliance with local insurance regulations.
Letter Of Consent To Get Drivers License
A South African legal document providing parental/guardian consent for obtaining a driver's license, compliant with National Road Traffic Act requirements.
Guardian Letter Of Consent For Student Permit
A legal document required under South African law providing guardian consent for a minor's student permit application and study period in South Africa.
Consent Letter For Students
A South African-compliant consent letter for educational institutions to obtain and record student (and parental) consent for various educational activities and data processing.
Authorization Letter For Minor Passport
A South African legal document providing parental authorization for a minor's passport application and issuance, complying with Department of Home Affairs requirements.
Medical Treatment Authorization Letter
A South African legal document authorizing healthcare providers to administer medical treatment to a designated individual, in compliance with the National Health Act.
Parent Consent Letter For Field Trip
A South African-compliant document for obtaining parental consent for student participation in school field trips, incorporating legal requirements and safety provisions.
Consent Letter For Job Application
A POPIA-compliant consent letter for job applications in South Africa, authorizing the collection and processing of applicant personal information.
Parents Consent Letter For Sports
A South African legal document providing parental consent for children's participation in sports activities, complying with local child protection and sports legislation.
Parent Permission Letter For Camp
A South African legal document providing parental authorization for a child's participation in camp activities, including medical and safety provisions.
Parent Consent Letter For Youth Camp
A South African legal document providing parental authorization for child participation in youth camp activities, including medical and emergency consents.
Medical Consent Letter
A legal document used in South Africa to obtain and document patient consent for medical procedures, complying with the National Health Act and related healthcare legislation.
Letter To Doctor Giving Permission
A South African legal document granting specific permissions to doctors regarding patient medical information or treatment authorization, compliant with national healthcare laws.
Letter Of Permission For Grandparents
A South African legal document authorizing grandparents to care for and make decisions regarding their grandchildren, in accordance with the Children's Act 38 of 2005.
Letter Of Consent To Travel Internationally Without Both Parents
A South African legal document providing parental consent for a minor to travel internationally without both parents present, meeting Department of Home Affairs requirements.
Letter Of Consent To Release Personal Information
A South African POPIA-compliant consent letter authorizing the release and processing of personal information.
Letter Of Consent Form
A South African legal document capturing explicit permission or authorization from one party to another, compliant with local legislation including POPIA.
Letter Of Consent For Someone To Act On My Behalf
A South African legal document authorizing one person to act on behalf of another, subject to South African law and requiring formal authentication.
Consent Letter For Trip
A legal document required under South African law authorizing a minor's travel, either domestically or internationally, with detailed consent from parents or legal guardians.
Consent Letter For Permission
A South African legal document that formally records permission granted by one party to another, complying with local consent and privacy laws.
Consent Letter For Electricity Connection
A South African legal document providing property owner's authorization for electricity connection installation or modification, complying with local regulations and municipal requirements.
Consent Letter To Sell Property
A South African legal document providing formal authorization for the sale of property, typically used when additional consent beyond the owner's is required.
Consent Letter For Loan Application
A South African regulatory-compliant consent letter authorizing financial institutions to process personal information and conduct necessary checks for loan applications.
Authorization Letter From Husband To Wife
A South African legal document where a husband formally authorizes his wife to act on his behalf for specified purposes, governed by South African matrimonial and property law.
Consent To Sale Of Property Letter
A formal South African legal document providing explicit written permission for the sale of a property, required under specific ownership circumstances and compliant with local property law.
Consent Letter Of Property Owner
A South African legal document providing property owner's written authorization for specific activities or changes related to their property, compliant with local property law.
Consent Letter For Insurance Transfer
A South African regulatory-compliant consent letter authorizing the transfer of an insurance policy between providers.
Authorization Letter Of Consent
A formal South African legal document granting specific permissions or authority from one party to another, compliant with local legislation and common law requirements.
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)