Your data doesn't train Genie's AI
You keep IP ownership of your information
1. Patient and Caregiver Information: Detailed identification of the patient and appointed caregiver, including full names, ID numbers, contact details, and relationship between parties
2. Background: Context for the appointment of the caregiver and the need for medical consent authority
3. Definitions: Clear definitions of key terms used in the document, including 'medical treatment', 'emergency care', 'caregiver', and 'healthcare provider'
4. Scope of Authority: Detailed description of the medical decisions the caregiver is authorized to make, including routine care, emergency treatment, and any specific limitations
5. Duration of Authority: Specification of the time period for which the consent is valid, including start date and end date if applicable
6. Caregiver Responsibilities: Outline of the caregiver's duties, including obligation to act in patient's best interests and maintain communication with healthcare providers
7. Emergency Protocols: Procedures for emergency situations, including contact hierarchy and decision-making process
8. Confidentiality: Privacy obligations and handling of medical information in accordance with POPIA
9. Revocation: Process and conditions under which the consent can be withdrawn or modified
10. Signatures and Witnesses: Space for formal execution of the document by all parties and witnesses
1. Alternative Caregiver Designation: Appointment of backup caregivers in case the primary caregiver is unavailable (recommended for long-term arrangements)
2. Specific Medical Conditions: Detailed instructions for managing specific known medical conditions or treatments (include when patient has chronic conditions)
3. Religious or Cultural Preferences: Special instructions regarding medical treatment based on religious or cultural beliefs (include when specifically requested)
4. Financial Authority: Authorization for the caregiver to handle medical expenses and insurance matters (include when financial responsibility is part of care)
5. Travel Authorization: Permission for medical treatment during travel (include when regular travel is anticipated)
6. Mental Health Provisions: Specific provisions for mental health treatment decisions (include when mental health care is a consideration)
1. Schedule A: Medical History: Comprehensive medical history including current conditions, medications, allergies, and previous surgeries
2. Schedule B: Healthcare Provider List: List of current healthcare providers, their contact information, and areas of specialty
3. Schedule C: Emergency Contacts: Prioritized list of emergency contacts including family members and alternative caregivers
4. Schedule D: Medication Schedule: Current medication regimen including dosages, timing, and special instructions
5. Appendix 1: Identity Documents: Copies of identity documents for both patient and caregiver
6. Appendix 2: Medical Insurance Information: Details of medical insurance coverage, policy numbers, and contact information
Healthcare
Elder Care
Child Care
Medical Insurance
Legal Services
Social Services
Disability Services
Home Healthcare
Residential Care
Mental Health Services
Legal
Compliance
Patient Services
Risk Management
Medical Records
Healthcare Administration
Social Services
Insurance Coordination
Quality Assurance
Clinical Operations
Healthcare Administrator
Medical Practice Manager
Legal Compliance Officer
Healthcare Attorney
Social Worker
Case Manager
Patient Care Coordinator
Medical Records Manager
Risk Management Officer
Healthcare Facility Director
Nursing Home Administrator
Home Care Service Manager
Patient Rights Advocate
Medical Insurance Coordinator
Healthcare Operations Manager
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.
ұԾ’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; ұԾ’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)