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Generic Release Of Information Form
I need a Generic Release of Information Form for my medical clinic in Copenhagen to share patient records with specialist consultants, including provisions for handling sensitive health data and a validity period until December 2025.
1. Parties: Identification of the data subject (person whose information is being released), the organization/person releasing the information, and the recipient(s) of the information
2. Background: Brief context explaining the purpose and nature of the information release
3. Definitions: Key terms used in the form, including types of information, processing activities, and relevant GDPR terminology
4. Information to be Released: Specific description of the personal data to be released, including categories of data and time period covered
5. Purpose of Release: Clear statement of the specific purpose(s) for which the information will be used
6. Duration and Expiry: Time period for which the release authorization is valid
7. Rights and Revocation: Statement of the data subject's rights under GDPR and how to revoke consent
8. Consent Declaration: Formal consent statement and signature section
1. Special Categories of Data: Additional section required when sensitive data (health, biometric, etc.) is included in the release
2. Third Party Transfers: Required when information may be transferred to third parties or outside the EU/EEA
3. Emergency Contacts: Optional section for including emergency contact information when relevant to the purpose
4. Data Security Measures: Description of security measures for sensitive data transfers
1. Schedule A - Detailed Data Categories: Comprehensive list of specific data categories to be released
2. Schedule B - Authorized Recipients: List of specific individuals or organizations authorized to receive the information
3. Appendix 1 - Privacy Notice: Detailed privacy notice explaining how the information will be processed
4. Appendix 2 - Processing Activities: Detailed description of processing activities to be performed on the released information
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Healthcare
Education
Financial Services
Insurance
Legal Services
Human Resources
Public Administration
Research Institutions
Social Services
Professional Services
Legal
Compliance
Human Resources
Information Security
Privacy
Risk Management
Operations
Administrative Services
Records Management
Data Protection
Data Protection Officer
Privacy Manager
Compliance Officer
Legal Counsel
HR Manager
Medical Records Administrator
Information Security Officer
Risk Manager
Administrative Coordinator
Operations Manager
Records Manager
Healthcare Administrator
Education Administrator
Privacy Specialist
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