The Consent Authorization Form is a crucial document used in New Zealand to obtain and record explicit consent from individuals for various purposes, including data collection, medical procedures, research participation, or service provision. This document is designed to comply with the Privacy Act 2020, the Health and Disability Commissioner Act 1994 (where applicable), and other relevant New Zealand legislation. The form should be used whenever an organization needs to obtain documented consent from individuals, particularly for activities involving personal information handling, medical procedures, research participation, or service delivery. It includes comprehensive details about the purpose of consent, scope of authorization, privacy protections, and the rights of the consenting party, ensuring transparency and legal compliance while protecting both the organization and the individual's interests.
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1. Parties: Identification of the person giving consent and the organization/entity receiving consent, including full legal names and relevant identifiers
2. Background: Brief context explaining why the consent is being sought and its general purpose
3. Definitions: Clear explanations of key terms used in the consent form
4. Scope of Consent: Detailed description of what specific activities, data usage, or actions are being authorized
5. Duration of Consent: The time period for which the consent remains valid, including start date and expiry date if applicable
6. Rights of Withdrawal: Explanation of the right to withdraw consent and the process for doing so
7. Privacy Statement: Statement about how personal information will be handled, stored, and protected
8. Declaration: Formal statement of consent and understanding, to be signed by the consenting party
1. Medical Treatment Details: Used when consent relates to medical procedures or health information sharing
2. Digital Data Handling: Used when consent involves electronic data processing or online services
3. Third Party Disclosure: Used when information may be shared with other organizations or entities
4. Authorized Representative: Used when consent is given by someone other than the subject (e.g., parent, guardian, power of attorney)
5. Photography/Media Release: Used when consent includes permission for photography, video, or other media capture and usage
6. Research Participation: Used when consent is for participation in research studies or surveys
1. Schedule 1: Detailed Description of Authorized Activities: Comprehensive list of specific activities or data uses being authorized
2. Schedule 2: Privacy Policy: Detailed privacy policy and data protection measures
3. Schedule 3: Withdrawal Form: Template form for withdrawing consent
4. Appendix A: Glossary of Terms: Extended definitions and explanations of technical or legal terms
5. Appendix B: Contact Information: Detailed contact information for privacy officers, data protection officers, or relevant authorities
Authors
Relevant legal definitions
Clauses
Relevant Industries
Healthcare
Education
Financial Services
Research and Academia
Technology and Digital Services
Non-profit Organizations
Government Services
Professional Services
Media and Entertainment
Clinical Trials
Marketing and Advertising
Human Resources
Relevant Teams
Legal
Compliance
Human Resources
Information Security
Risk Management
Operations
Clinical Research
Marketing
Customer Service
Data Protection
Quality Assurance
Administrative Services
Relevant Roles
Privacy Officer
Legal Counsel
Compliance Manager
Data Protection Officer
HR Manager
Research Coordinator
Medical Administrator
Project Manager
Information Security Officer
Risk Manager
Operations Manager
Clinical Trial Coordinator
Marketing Manager
Customer Service Manager
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