The Patient Consent For Publication document is essential in medical research and academic publishing within Belgium's healthcare system. It is required whenever healthcare providers or researchers wish to publish patient cases, clinical findings, or medical images in academic journals, educational materials, or research publications. The document must comply with the Belgian Law on Patient Rights (2002), GDPR requirements, and the Belgian Code of Medical Ethics. It typically includes detailed information about the intended publication, specific consent for different types of data use, and clear explanations of patient rights. This consent form is particularly crucial in teaching hospitals and research institutions where case studies and clinical findings are regularly published for educational or scientific purposes.
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
Your data doesn't train Genie's AI
You keep IP ownership聽of your docs
1. Patient Details: Patient's identification information including name, date of birth, and patient ID number (if applicable)
2. Healthcare Provider Details: Information about the treating healthcare institution and relevant medical professionals
3. Purpose of Publication: Clear explanation of why the patient's case is being published and in what context (e.g., medical journal, conference presentation)
4. Information to be Published: Specific details about what information will be included in the publication (e.g., medical history, images, test results)
5. Privacy and Anonymity: Explanation of how patient's identity will be protected and what identifying information will be removed or modified
6. Patient Rights: Clear statement of patient's rights including right to withdraw consent and limitations of withdrawal
7. Declaration of Consent: Formal statement of consent with space for patient signature and date
1. Third Party Access: Include when the publication might involve sharing data with third parties beyond the primary publication
2. Commercial Use: Include when there's potential for commercial use of the published information
3. Translation Rights: Include when publication might be translated into other languages
4. Future Research Use: Include when the published information might be used for future research purposes
5. Digital/Online Publication: Include specific provisions for online publication and digital distribution when applicable
1. Schedule 1: Details of Publication: Specific details about the intended publication(s) including journal names, conference details, or other publication venues
2. Schedule 2: Image/Media Inventory: List of specific images, videos, or other media materials covered by the consent
3. Schedule 3: Data Protection Information: Detailed information about data protection measures and GDPR compliance
4. Appendix A: Patient Information Sheet: Detailed explanation of the publication process and its implications in plain language
5. Appendix B: Withdrawal Form: Template form for withdrawing consent if patient chooses to do so later
Find the exact document you need
Consent Letter From Parent For Passport
A Belgian-compliant parental consent letter authorizing passport issuance for a minor, meeting all federal and consular requirements for child passport applications.
Download
Authorization Form For Travelling Abroad With A Minor
A Belgian law-compliant authorization form enabling minors to travel abroad with proper parental/guardian consent and travel documentation.
Download
Patient Consent Form For Treatment
A Belgian-law compliant consent form documenting patient authorization for medical treatment, aligned with Belgian healthcare regulations and EU data protection requirements.
Download
Permission Letter From Parents
A Belgian law-compliant document providing formal parental authorization for specific activities or services involving their minor child.
Download
Patient Consent For Publication
A Belgian-law compliant consent form for publishing patient medical information in academic or educational contexts, adhering to GDPR and local healthcare regulations.
Download
Parent Consent Letter For Student Permit
A Belgian legal document providing parental authorization for a minor to obtain a student permit for studying in Belgium.
Download
Minor Consent Form For Tattoo
A Belgian-compliant consent form for minors seeking tattoo services, requiring parental authorization and including comprehensive safety and procedure information.
Download
Consent To Disclosure Of Information
A Belgian law-compliant document establishing consent for personal data disclosure under GDPR and national data protection requirements.
Download
Consent Letter From Husband For Wife To Travel
A Belgian-law compliant written authorization from a husband permitting his wife to travel, including necessary identifications and travel details, typically requiring notarization.
Download
Parental Consent Letter
A Belgian-law governed document providing parental authorization for specific activities or decisions regarding a minor child, compliant with Belgian Civil Code requirements.
Download
Consent Letter For Visa
A Belgian legal document providing formal consent and support for a visa application, governed by Belgian Immigration Law and EU regulations.
Download
Consent Letter For Marriage
A legal document under Belgian law providing parental or guardian consent for a minor's marriage, required by the Belgian Civil Code.
Download
Letter Of Consent To Immigration
A formal consent document for immigration purposes in Belgium, providing official permission for immigration-related matters under Belgian federal law.
Download
Data Consent Form
A Belgian law-compliant consent form for personal data processing, meeting both local and GDPR requirements.
Download
Consent To Treat Minor Form
A Belgian-compliant authorization form allowing parents/guardians to consent to medical treatment for minors in their absence, meeting all relevant healthcare and privacy regulations.
Download
Student Consent Letter
A Belgian-law compliant consent letter for educational institutions to obtain necessary permissions from students and/or guardians for various educational activities and data processing.
Download
Divorce Consent Form
A legal document used in Belgian jurisdiction for mutual consent divorce proceedings, outlining agreed terms between spouses and meeting Belgian Civil Code requirements.
Download
Simple Consent Form
A GDPR-compliant consent form under Belgian law for obtaining and recording valid consent from individuals for specific data processing activities.
Download
Background Check Consent Form
A Belgian-law compliant consent form for background checks, incorporating GDPR requirements and local data protection standards.
Download
Marriage Consent Form
A Belgian legal document confirming both parties' informed and voluntary consent to marry, complying with Belgian Civil Code requirements.
Download
Assent Consent Form
A Belgian-law compliant consent form for obtaining explicit, informed consent in accordance with GDPR and local requirements.
Download
Consent Form For Research
A Belgian-law compliant consent form for research participants, meeting GDPR and local research ethics requirements.
Download
Letter Of Consent
A Belgian law-governed formal document establishing explicit authorization or permission from one party to another, ensuring compliance with national and EU regulations including GDPR where applicable.
Download
Photo Consent Form
A Belgian law-compliant consent form for photograph usage, incorporating GDPR and local image rights requirements.
Download
Parent Permission Form
A Belgian-law compliant document for obtaining parental authorization for child participation in organized activities, incorporating GDPR and local legal requirements.
Download
Survey Consent Form
Belgian-law compliant Survey Consent Form for obtaining informed consent from research participants, adhering to GDPR and local data protection requirements.
Download
Photo Release Consent Form
A Belgian law-compliant consent form for photograph usage rights, meeting GDPR and local privacy requirements.
Download
Patient Consent Form
A Belgian-law compliant document for obtaining informed patient consent for medical procedures, treatments, or research participation, adhering to EU GDPR requirements.
Download
Parental Consent Form
A Belgian law-compliant document for obtaining parental authorization for activities, treatments, or services involving minors.
Download
Patient Consent Form For Case Report
A Belgian law-compliant consent form for obtaining patient authorization for medical case report publication, incorporating EU GDPR requirements.
Download
Marketing Consent Form
A GDPR-compliant Marketing Consent Form for use in Belgium, designed to obtain explicit consent for marketing communications while meeting Belgian legal requirements.
Download
Consent Letter From Parent For Visa
A Belgian law-compliant parental consent letter required for minor's visa applications and international travel within the Schengen area.
Download
Consent And Release Form
A Belgian law-governed document establishing informed consent and liability release, incorporating GDPR compliance and Belgian Civil Code requirements.
Download
Model Consent Form
A GDPR-compliant consent form template for personal data processing under Belgian law, incorporating essential consent elements and data subject rights.
Download
Parent Guardian Consent Form
A Belgian-law compliant consent form for parents/guardians to authorize activities or services involving their minor children.
Download
Medical Consent Form
A Belgian-law compliant medical consent form documenting patient authorization for medical procedures while ensuring compliance with the Belgian Patient Rights Act and GDPR.
Download
骋别苍颈别鈥檚 Security Promise
Genie is the safest place to draft. Here鈥檚 how we prioritise your privacy and security.
Your documents are private:
We do not train on your data; 骋别苍颈别鈥檚 AI improves independently
All data stored on Genie is private to your organisation
Your documents are protected:
Your documents are protected by ultra-secure 256-bit encryption
We are ISO27001 certified, so your data is secure
Organizational security:
You retain IP ownership of your documents and their information
You have full control over your data and who gets to see it