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Privacy Waiver
"I need a Privacy Waiver for my medical practice in Auckland that allows sharing patient information with specialists and insurance providers, with specific provisions for handling sensitive health data and maintaining records for 7 years."
1. Parties: Identification of the individual providing the waiver (the 'Individual') and the organization/entity receiving the waiver (the 'Recipient')
2. Background: Context explaining why the privacy waiver is needed and the relationship between the parties
3. Definitions: Key terms used in the waiver, including 'Personal Information', 'Sensitive Information', 'Third Parties', etc.
4. Scope of Waiver: Specific types of personal information covered by the waiver and permitted uses
5. Duration: Time period for which the waiver remains valid
6. Rights and Obligations: Responsibilities of the Recipient regarding data handling and security
7. Revocation: Process and conditions under which the Individual can withdraw consent
8. Signatures: Execution block for parties to sign and date the waiver
1. International Data Transfers: Include when personal information may be transferred outside New Zealand
2. Health Information Provisions: Include when the waiver covers health-related information subject to the Health Information Privacy Code
3. Third Party Disclosure: Include when information may be shared with additional parties beyond the primary Recipient
4. Data Security Measures: Include when specific security protocols need to be documented
5. Emergency Contact Authorization: Include when the waiver covers permission to contact designated emergency contacts
6. Specific Purpose Limitation: Include when the waiver is for a very specific, limited purpose rather than general authorization
1. Schedule 1 - Types of Personal Information: Detailed list of specific personal information covered by the waiver
2. Schedule 2 - Authorized Recipients: List of specific individuals or roles authorized to access the information
3. Schedule 3 - Permitted Uses: Detailed description of how the information may be used
4. Appendix A - Consent Form: Additional specific consent forms if required for particular types of information
5. Appendix B - Privacy Policy Reference: Reference to or excerpt of relevant privacy policies that apply
Authors
Healthcare
Financial Services
Education
Insurance
Legal Services
Government Services
Human Resources
Research and Academia
Social Services
Professional Services
Real Estate
Immigration Services
Legal
Compliance
Human Resources
Information Security
Data Protection
Risk Management
Records Management
Administration
Customer Service
Research & Development
Privacy Officer
Data Protection Officer
Legal Counsel
Compliance Manager
HR Manager
Risk Manager
Information Security Officer
Records Manager
Healthcare Administrator
Immigration Consultant
Research Coordinator
Financial Advisor
Insurance Underwriter
School Administrator
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