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Client Consent To Release Information Form Template for England and Wales

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Key Requirements PROMPT example:

Client Consent To Release Information Form

"I need a Client Consent To Release Information Form for my medical practice in London to share patient records with a specialist clinic, ensuring compliance with UK GDPR and including specific provisions for mental health data."

Document background
The Client Consent To Release Information Form is essential for organizations operating in England and Wales that need to share personal information with third parties. This document became particularly crucial following the implementation of the UK GDPR and the Data Protection Act 2018, which require explicit consent for data sharing. The form serves as evidence of compliance with data protection obligations and provides clear documentation of the data subject's authorization. It should be used whenever personal information needs to be shared beyond the original purpose of collection, especially for sensitive or special category data.
Suggested Sections

1. Client Details: Full name, contact information, and identification details of the client

2. Information to be Released: Specific description of what information is authorized for release

3. Recipients: Identity and contact details of parties authorized to receive the information

4. Purpose: Clear statement of why the information is being released

5. Duration: Time period for which the consent remains valid

6. Signature Block: Space for client signature, date, and witness if required

Optional Sections

1. Representative Authorization: Additional section required when someone other than the client is authorized to give consent (e.g., when client lacks capacity or has appointed a representative)

2. Special Category Data: Additional consent requirements for sensitive data such as medical, religious, or other sensitive information

3. Third Party Information: Special provisions for consent regarding release of information about other individuals contained in the records

Suggested Schedules

1. List of Specific Records: Detailed inventory of documents/information to be released

2. Privacy Notice: Information about how the data will be processed and protected

3. Rights Information: Summary of data subject rights under GDPR

Authors

Alex Denne

Head of Growth (Open Source Law) @ ¶¶Òõ¶ÌÊÓÆµ | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

Relevant legal definitions
























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Relevant Industries
Relevant Teams
Relevant Roles
Industries

UK General Data Protection Regulation (UK GDPR): Primary data protection legislation in the UK post-Brexit, governing principles of data processing, lawful bases for processing, individual rights, and requirements for valid consent

Data Protection Act 2018: UK's implementation of GDPR principles, including additional data protection requirements and special category data provisions

Common Law Duty of Confidentiality: Legal obligation to maintain confidentiality of information shared in confidence, including professional obligations, doctor-patient confidentiality, and solicitor-client privilege

Mental Capacity Act 2005: Legislation governing capacity to give consent and requirements for representatives/attorneys when individuals lack capacity

Access to Health Records Act 1990: Legislation governing access to medical records, including rights of access to deceased persons' records

Human Rights Act 1998: Incorporation of European Convention rights into UK law, particularly Article 8 regarding right to privacy and balancing privacy rights with other interests

Freedom of Information Act 2000: Legislation governing public access to information held by public authorities and its interface with data protection requirements

Teams

Employer, Employee, Start Date, Job Title, Department, Location, Probationary Period, Notice Period, Salary, Overtime, Vacation Pay, Statutory Holidays, Benefits, Bonus, Expenses, Working Hours, Rest Breaks,  Leaves of Absence, Confidentiality, Intellectual Property, Non-Solicitation, Non-Competition, Code of Conduct, Termination,  Severance Pay, Governing Law, Entire Agreemen

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