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Statement Of Consent

Statement Of Consent Template for New Zealand

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Key Requirements PROMPT example:

Statement Of Consent

"I need a Statement of Consent for a medical research study starting in March 2025, which will involve collecting blood samples and health data from participants over a 6-month period, with potential sharing with other research institutions in New Zealand."

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Document background
The Statement of Consent is a crucial document in New Zealand's legal framework, designed to protect individual rights and ensure proper authorization for various activities. This document is essential when organizations or individuals need to obtain explicit permission for actions such as medical procedures, data processing, research participation, or service provision. The Statement of Consent must comply with New Zealand's Privacy Act 2020 and other relevant legislation, providing clear information about the scope of consent, duration, and the rights of the consenting party. It's particularly important in situations involving sensitive personal information, healthcare decisions, or significant legal implications. The document serves as both a legal record and a communication tool, ensuring that consent is properly informed, freely given, and documented in accordance with New Zealand law.
Suggested Sections

1. Date: The date on which the consent is given

2. Parties: Identification of the person giving consent and the organization/individual receiving consent

3. Background: Context for why the consent is being sought and its purpose

4. Definitions: Clear explanations of key terms used in the document

5. Scope of Consent: Detailed description of what is being consented to

6. Duration: Period for which the consent remains valid

7. Rights and Responsibilities: Outline of the rights retained by the consenting party and the responsibilities of all parties

8. Withdrawal of Consent: Process for withdrawing consent and any limitations

9. Privacy Statement: How personal information will be handled and protected

10. Declaration: Confirmation that the person understands and freely gives consent

11. Execution: Signature blocks and witnessing requirements

Optional Sections

1. Third Party Authorization: Used when consent involves sharing information with or authorizing actions by third parties

2. Special Conditions: Any specific conditions or limitations on the consent

3. Emergency Provisions: Used in medical or care-related consents to specify emergency procedures

4. Interpreter Declaration: Required when the consent form has been explained through an interpreter

5. Guardian Details: Used when consent is given on behalf of a minor or person lacking capacity

6. Digital Consent Provisions: Specific provisions for electronic consent processes

Suggested Schedules

1. Schedule 1 - Detailed Description of Activities: Comprehensive list of specific activities or information covered by the consent

2. Schedule 2 - Privacy Policy: Detailed privacy policy and information handling procedures

3. Schedule 3 - Relevant Legislation: List of applicable laws and regulatory requirements

4. Appendix A - Identity Verification: Requirements and procedures for identity verification

5. Appendix B - Supporting Documentation: List of any supporting documents provided or required

Authors

Alex Denne

Head of Growth (Open Source Law) @ tiktok³ÉÈË°æ | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

alex.den.21@genieai.co
Relevant legal definitions






























Clauses
























Relevant Industries

Healthcare

Research and Academia

Financial Services

Education

Social Services

Professional Services

Technology and Data Processing

Clinical Trials

Marketing and Advertising

Human Resources

Legal Services

Non-profit Organizations

Government Services

Mental Health Services

Relevant Teams

Legal

Compliance

Privacy

Human Resources

Research and Development

Clinical Operations

Risk Management

Information Security

Quality Assurance

Operations

Patient Services

Corporate Governance

Data Protection

Relevant Roles

Privacy Officer

Legal Counsel

Compliance Manager

Research Coordinator

Clinical Trial Manager

Human Resources Manager

Data Protection Officer

Healthcare Administrator

Project Manager

Risk Manager

Patient Services Coordinator

Ethics Committee Member

Information Security Officer

Quality Assurance Manager

Operations Manager

Corporate Secretary

Industries






Teams

Employer, Employee, Start Date, Job Title, Department, Location, Probationary Period, Notice Period, Salary, Overtime, Vacation Pay, Statutory Holidays, Benefits, Bonus, Expenses, Working Hours, Rest Breaks,  Leaves of Absence, Confidentiality, Intellectual Property, Non-Solicitation, Non-Competition, Code of Conduct, Termination,  Severance Pay, Governing Law, Entire Agreemen

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