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About
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DPTA-Form
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1
Summary
2
Parties
3
Data
4
Processing
5
Miscellaneous
0%
Organisation
*
Choose the Organisation submitting the DPTA
Health Innovation KSS
Unity Insights
Other (specify in Overview)
Programme Name
*
Programme Lead First Name
Programme Lead Last Name
Overview
*
DPO Assessment
Submitter First name
Submitter Last name
Email
*
An acknowledgement email will be sent to this address
Phone
Include the Country Prefix (+44 for UK) and omit the leading zero
Submission Date
*
Stage
*
A DPO option
Draft
Submitted
Being Assessed
Assessed
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Parties
Include entries for all the main participants (minimum 2 and maximum 5)
Party
Role
Party
Role
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Data
Data Specification
Upload up to 3 files with samples or specifications of data
Lawful Bases
Select one or more potential lawful bases
Consent
Contract
Legal Obligation
Vital Interests
Public Task
Recognised Legitimate Interest
Legitimate Interest
Option 1
Option 2
Option 3
Option 1
Option 2
Option 3
Lawful Basis Notes
Special Category Data
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High Risk
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Link
Link Description
Link URL
Attachments
Upload up to 10 files with samples or specifications of data
Save Draft
Submit
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Please note that your information is saved on our server as you enter it.