Privacy impact assessment

It is free to fill in online, needs no account, and downloads as a Word document or a PDF. See all Company and legal templates

• Organisation

  For example: Northgate Health Ltd

• Project or system

  For example: Patient reminder app

• Project owner

  For example: Head of Digital

• Assessment carried out by

  For example: Priya Nair, Data Protection Officer

• Date

  For example: 9 April 2027

• What the project does

  Two or three sentences, in plain words.

  For example: Sends appointment reminders by text and lets patients change their booking online.

• Why personal data is needed

  For example: To remind people of appointments and cut missed visits.

• Personal data used

  One item per line. Mark any sensitive data.

  For example: Name Mobile number Appointment time and clinic No medical notes

• Whose data it is

  For example: Patients over 16, about 12,000 people

• Who else receives the data (optional)optional

  For example: The text message provider, as our processor, under contract

• How long it is kept

  For example: Reminders deleted 30 days after the appointment

• Risks to people

  One risk per line. Think of harm to the person, not to the company.

  For example: A wrong number could reveal an appointment to a stranger A breach could expose names and numbers

• Safeguards for each risk

  For example: Confirm the number at booking No clinic details in the text Encrypted storage and staff access limits

• Risk that remains after the safeguards

• Decision and next steps

  For example: Go ahead after the number check is built. Review again in 12 months.

1. 11. What the project does
2. 22. Why personal data is needed
3. 33. The data
4. 44. Risks to people
5. 55. Safeguards
6. 66. Risk that remains
7. 77. Decision and next steps

1. 01

   Fill in

   Type your details in the form. The document fills itself in as you type; click any gap to jump to its field.

2. 02

   Check

   Read it through. Gaps you have not filled stay marked, so nothing goes out half done.

3. 03

   Download

   Save it as a Word document to edit further, or as a PDF to send or print.

What details does this template ask for?

The form asks for 15 details, starting with Organisation, Project or system, Project owner, Assessment carried out by, Date. 1 more are optional.

Can I download this template as Word or PDF?

Yes. When you have filled in the form, save it as a Word document to keep editing, or as a PDF to send or print. It is free and needs no account.

Is what I type sent anywhere?

No. What you type stays in your browser while you fill in the document. It only goes to nerix if you choose to open the template in the chat.

What should I check before I use this template?

Many data protection laws require an assessment for high-risk uses of personal data, and they differ by country. This template is a working structure, not legal advice. Ask your data protection officer or adviser where one is required.

Are these company templates free?

Most are. Fill in and download them for free as Word or PDF, with no account. A few longer documents are premium: free to fill in, paid once to download, and marked with their price.

Is a template the same as legal advice?

No. A template is a careful starting point. Company, contract and data protection law differ by country, so have a lawyer read anything that carries real risk before you sign.

Can I change the clauses?

Yes. Download the Word version and edit it, or open the template in the nerix chat and ask for a clause that is stricter, shorter or in another language.

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