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Permission To Disclose Information Letter
I need a Permission to Disclose Information Letter for our Danish medical clinic to share patient records with a research institution in Stockholm, covering medical history and treatment data, with the permission lasting until March 2025.
1. Sender and Recipient Details: Full names and addresses of both the person/entity giving permission and the entity receiving permission to disclose
2. Subject Matter: Clear identification of the individual whose information will be disclosed
3. Purpose of Disclosure: Specific description of why the information needs to be disclosed
4. Information to be Disclosed: Detailed specification of exactly what information may be disclosed
5. Duration of Permission: Time period for which the permission is valid
6. Rights Statement: Statement of the right to withdraw permission and how to do so
7. Date and Signature: Space for dating and signing the permission letter
1. Third Party Recipients: List of additional parties who may receive the disclosed information, used when information may be shared beyond the primary recipient
2. Special Categories of Data: Specific consent sections for sensitive data categories under GDPR, required when disclosing health, biometric, or other sensitive data
3. Processing Activities: Description of how the information will be processed, needed when disclosure involves data processing beyond simple sharing
4. Cross-border Transfers: Details of international transfers of information, required when data will be sent outside the EU/EEA
5. Confidentiality Obligations: Additional confidentiality requirements for recipients, used for particularly sensitive information
1. Schedule of Information: Detailed list of specific information/documents to be disclosed
2. List of Recipients: Complete list of all authorized recipients when there are multiple parties
3. Processing Activities Details: Detailed description of all data processing activities when complex processing is involved
4. Withdrawal Form: Template form for withdrawing consent, making it easier for the data subject to exercise their rights
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Healthcare
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Real Estate
Human Resources
Research and Development
Public Sector
Legal Services
Telecommunications
Social Services
Legal
Compliance
Data Protection
Human Resources
Information Security
Risk Management
Operations
Information Governance
Administrative Support
Medical Records
Customer Service
Privacy Office
Data Protection Officer
Privacy Manager
Compliance Officer
Legal Counsel
HR Manager
Information Security Manager
Risk Manager
Medical Records Administrator
Company Secretary
Operations Manager
Chief Privacy Officer
Records Manager
Information Governance Officer
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