Patient Declaration Form Template for Denmark

Create a bespoke document in minutes, or upload and review your own.

4.6 / 5

4.8 / 5

Let's create your Patient Declaration Form

1. Select your governing law and document type:

2. Enter your key requirements:

3. Create your document to edit, review or download

Get your first 2 documents free

Your data doesn't train Genie's AI

You keep IP ownership of your information

Key Requirements PROMPT example:

Patient Declaration Form

I need a Patient Declaration Form for our new private dental clinic opening in Copenhagen in March 2025, with specific sections for dental procedures and both Danish and English language versions.

What is a Patient Declaration Form?

The Patient Declaration Form is a mandatory document required in Danish healthcare settings before initiating medical treatment or procedures. It serves multiple critical purposes: documenting patient consent, confirming understanding of rights and responsibilities, and ensuring compliance with Danish healthcare regulations. This form must be completed at the outset of patient care and updated as necessary during the course of treatment. It includes sections for patient identification, medical history disclosure, consent to treatment, and data protection acknowledgments. The document is designed to meet requirements set forth in Danish healthcare legislation, including the Danish Health Act and Patients' Rights Act, while also addressing GDPR compliance through the Danish Data Protection Act. Healthcare providers must ensure this form is properly completed and maintained as part of the patient's medical record.

What sections should be included in a Patient Declaration Form?

1. Patient Information: Basic identification details including full name, CPR number (Danish personal ID), address, and contact information

2. Healthcare Provider Information: Details of the healthcare facility, department, and treating physician

3. Medical Information Disclosure: Declaration regarding the accuracy of provided medical information and authorization to access existing medical records

4. Consent to Treatment: General consent for medical examination, treatment, and necessary procedures

5. Data Protection Declaration: Acknowledgment of how personal health data will be processed and stored in accordance with GDPR and Danish law

6. Emergency Contact Information: Details of person(s) to be contacted in case of emergency

7. Patient Rights Acknowledgment: Confirmation that patient has been informed of their rights under Danish healthcare law

8. Signature and Date: Space for patient signature, date, and witness signature if required

What sections are optional to include in a Patient Declaration Form?

1. Interpreter Declaration: Required when patient needs language interpretation services, confirming information has been accurately translated

2. Legal Representative Authorization: Required for minors or adults unable to provide consent, including guardian/representative details

3. Research Participation: Optional consent for use of medical data in research studies

4. Photography Consent: Optional authorization for medical photography if needed for treatment documentation

5. Special Treatment Risks: Required for specific procedures with significant risks or side effects

6. Insurance Information: Required for private healthcare facilities or specific treatment arrangements

What schedules should be included in a Patient Declaration Form?

1. Patient Rights Information Sheet: Detailed explanation of patient rights under Danish healthcare law

2. Data Protection Privacy Notice: Detailed information about personal data processing and privacy rights

3. Specific Procedure Information: Detailed information about specific medical procedures when applicable

4. Hospital/Clinic Policies: Relevant facility policies and procedures that patient should be aware of

5. Contact Information Sheet: List of important contacts including department numbers, emergency contacts, and patient support services

Authors

Alex Denne

Head of Growth (Open Source Law) @ ��Ƶ | 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

Medical Services

Hospitals

Private Clinics

Dental Care

Mental Health Services

Rehabilitation Services

Emergency Medical Services

Specialized Medical Care

Primary Care

Public Health

Relevant Teams

Legal

Compliance

Patient Administration

Medical Records

Quality Assurance

Risk Management

Front Desk Operations

Clinical Operations

Data Protection

Patient Services

Relevant Roles

Medical Doctor

Nurse

Hospital Administrator

Clinic Manager

Healthcare Compliance Officer

Legal Counsel

Data Protection Officer

Patient Services Coordinator

Medical Records Manager

Quality Assurance Manager

Healthcare Risk Manager

Patient Rights Advocate

Administrative Assistant

Reception Staff

Clinical Director

Find the exact document you need

Form Of Declaration

A Danish law-governed formal document used to make legally binding statements or declarations, following specific requirements under Danish legislation.

������Ƶ

How a Sales & Marketing Lead uses ������Ƶ to reduce contract drafting time by 95%

Let's create your Patient Declaration Form

What is a Patient Declaration Form?

What sections should be included in a Patient Declaration Form?

What sections are optional to include in a Patient Declaration Form?

What schedules should be included in a Patient Declaration Form?

Authors

Alex Denne

Find the exact document you need

Form Of Declaration

Self Employment Declaration

Airport Declaration Form

Age Declaration Form

Statutory Declaration Form

International Travel Declaration Form

Sponsorship Declaration Form

Salary Declaration Form

Referee Declaration Form

Supplier Declaration Form

Residency Declaration Form

Police Declaration Form

Medical Declaration Form

Immigration Declaration Form

Declaration Of Goods Form

Customs Declaration Form

Beneficial Ownership Declaration Form

Declaration In Application Form

Self Declaration Form For Medical Reimbursement

Permit Declaration

Declaration And Certification Of Finances

Self Declaration Form For Marriage Certificate

Electronic Health Declaration

Declaration Of Finances

Self Declaration Form For Students

Guarantor Declaration Form

Customs Clearance Form

Third Party Declaration Form

Declaration Form For Passport

Birth Certificate Declaration Form

Visa Declaration Form

Simple Declaration Form

Residence Declaration Form

House Declaration Form

Declaration Of Ownership Form

Company Declaration Letter

Student Declaration Form

Citizenship Declaration Form

Cargo Declaration Form

Tax Declaration Form

Major Declaration Form

Asset Declaration Form

Address Declaration Form

Wealth Declaration Form

Patient Declaration Form

Self Declaration Form

Import Declaration Form

Vendor Declaration Form

Safety Declaration Form

Landlord Declaration Form

Compliance Declaration Form

Beneficiary Declaration Form

Beneficial Owner Declaration Form

Rent Declaration Form

Relationship Declaration Form

Medical Self Declaration Form

Client Declaration Form

Applicant Declaration Form

Annual Declaration Form

Conflict Of Interest Declaration Form

Export Declaration Form

Anti Money Laundering Declaration Form

Cash Declaration Form

Author Declaration Form

Download our whitepaper on the future of AI in Legal

�ұ�Ծ���’s Security Promise

Your documents are private:

Your documents are protected:

Organizational security

Innovation in privacy:

��Ƶ

How a Sales & Marketing Lead uses ��Ƶ to reduce contract drafting time by 95%

�ұ�Ծ��’s Security Promise