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1. Healthcare Provider Information: Details of the medical facility, clinic, or healthcare provider collecting the information
2. Patient Information: Patient's personal details including name, ID number, contact information, and relevant medical record numbers
3. Purpose of Collection: Clear explanation of why the medical information is being collected and how it will be used
4. Types of Information Collected: Detailed list of categories of medical information that will be collected and stored
5. Information Sharing and Disclosure: Description of circumstances under which medical information may be shared with third parties
6. Data Protection Measures: Overview of security measures in place to protect patient's medical information
7. Patient Rights: Explanation of patient's rights regarding their medical information, including access, correction, and withdrawal of consent
8. Duration of Consent: Specification of how long the consent remains valid
9. Declaration and Signature: Formal consent statement and spaces for patient (or authorized representative) signature and date
1. Research Participation Consent: Additional consent for use of medical information in research studies or clinical trials
2. Electronic Health Record Sharing: Specific consent for sharing information through Hong Kong's eHealth system
3. Special Categories of Data: Additional consents for sensitive information like genetic data, mental health records, or HIV status
4. Photography and Recording Consent: Consent for taking and storing medical photographs or recordings
5. Interpreter Declaration: Section for cases where consent form is explained through an interpreter
6. Guardian/Representative Authorization: For cases involving minors or patients unable to provide consent themselves
1. Schedule 1: Detailed Data Categories: Comprehensive list of all types of medical information that may be collected
2. Schedule 2: Third Party Recipients: List of potential third parties with whom information may be shared
3. Schedule 3: Privacy Policy Summary: Summary of the healthcare provider's privacy policy and data protection measures
4. Appendix A: Patient Rights Guide: Detailed explanation of patient rights under Hong Kong privacy laws
5. Appendix B: Withdrawal Procedures: Procedures and forms for withdrawing consent
6. Appendix C: Glossary of Terms: Definitions of medical and technical terms used in the consent form
Healthcare
Medical Research
Pharmaceuticals
Biotechnology
Clinical Trials
Health Insurance
Medical Technology
Elderly Care
Mental Health Services
Rehabilitation Services
Diagnostic Services
Legal
Compliance
Medical Records
Patient Services
Clinical Operations
Data Protection
Quality Assurance
Information Security
Regulatory Affairs
Healthcare Administration
Privacy Office
Medical Director
Hospital Administrator
Clinical Manager
Data Protection Officer
Privacy Compliance Manager
Healthcare Legal Counsel
Medical Records Manager
Clinical Research Coordinator
Quality Assurance Manager
Patient Services Manager
Medical Practice Manager
Information Security Officer
Healthcare Operations Manager
Regulatory Compliance Officer
Chief Medical Officer
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