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Records Release Form
"I need a Records Release Form for releasing medical records from Singapore General Hospital to a specialist clinic, ensuring PDPA compliance and including specific provisions for electronic transfer of sensitive health data."
1. Date and Parties: Identifies the parties involved and date of execution
2. Records Description: Detailed description of records being released
3. Purpose of Release: States intended use of released records
4. Consent Declaration: Express consent for records release including PDPA compliance statements
5. Duration: Period for which consent is valid
6. Signatures: Execution block for all parties
1. Confidentiality Provisions: Additional provisions for handling sensitive or confidential information
2. Third Party Access: Provisions governing sharing of records with additional parties beyond immediate recipient
3. Data Protection Obligations: Specific PDPA compliance requirements and data protection responsibilities
1. Schedule of Records: Detailed listing of all records being released including format, date range, and type
2. Format Specifications: Technical specifications for electronic records and acceptable formats
3. Usage Guidelines: Specific instructions for handling, using, and storing the released records
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