Pursuant to the provisions of the Data Privacy Act of 2012, I hereby give my free and voluntary consent for Riverside Medical Center, Inc., (owner and operator of the Dr. Pablo O. Torre Memorial Hospital), its staff, personnel, agents or authorized representatives for the collection, use, sharing and transmittal by any means and processing of my personal information, medical information or privileged information as set out in my Riverside Medical Center, Inc. Data forms, records, medical diagnosis, medical results and findings, and/or any other document or media provided by me or already possessed by Riverside Medical Center, Inc., for purposes relevant to my consultation, diagnosis, treatment, tests or for any other instances mandated by law.