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1. Parties: Identifies the individual/entity giving consent (the 'Consenting Party') and the organization/entity requesting consent (the 'Requesting Party')
2. Background: Explains the context and purpose for which the consent to disclosure is being sought
3. Definitions: Defines key terms used in the document, including types of information, disclosure methods, and relevant parties
4. Scope of Information: Clearly specifies what information is covered by the consent
5. Purpose of Disclosure: Details the specific purposes for which the information will be used
6. Duration of Consent: Specifies how long the consent remains valid
7. Recipients of Information: Identifies who will receive the information
8. Rights and Obligations: Outlines the rights of the consenting party and obligations of the requesting party
9. Withdrawal of Consent: Explains how and when consent can be withdrawn
10. Privacy Protection Measures: Describes how the information will be protected
11. Execution: Signature blocks and execution details
1. Third Party Disclosures: Used when information may be shared with additional parties beyond the primary recipient
2. Overseas Transfer: Required when information may be transferred outside New Zealand
3. Sensitive Information Handling: Added when dealing with sensitive personal information such as health records or financial data
4. Emergency Disclosure Provisions: Used when consent covers emergency situations where immediate disclosure may be necessary
5. Digital Data Provisions: Added when consent covers digital or electronic information specifically
6. Information Storage: Optional section detailing how and where information will be stored
7. Specific Exclusions: Used to explicitly state what information or uses are not covered by the consent
1. Schedule 1 - Information Categories: Detailed list of specific information categories covered by the consent
2. Schedule 2 - Authorized Recipients: Complete list of authorized recipients and their contact details
3. Schedule 3 - Purpose Specifications: Detailed description of each purpose for which information may be used
4. Appendix A - Privacy Policy: Copy of relevant privacy policy or privacy protection procedures
5. Appendix B - Consent Withdrawal Form: Template form for withdrawing consent
Healthcare
Financial Services
Education
Insurance
Professional Services
Government & Public Sector
Human Resources
Technology & IT
Legal Services
Real Estate
Telecommunications
Social Services
Legal
Compliance
Human Resources
Information Security
Risk Management
Operations
Data Management
Client Services
Information Technology
Records Management
Privacy Office
Privacy Officer
Compliance Manager
Legal Counsel
Data Protection Officer
HR Manager
Information Security Manager
Risk Manager
Operations Manager
Healthcare Administrator
Financial Advisor
Records Manager
Company Secretary
Client Services Manager
Information Management Officer
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