1. Third Party Authorization: Additional section when someone other than the individual is authorized to consent to the release of information (e.g., legal guardian, power of attorney)

2. Specific Restrictions: Section detailing any limitations or restrictions on the use or further disclosure of the released information

3. Revocation Rights: Information about the right to withdraw consent and the process for doing so

4. Fee Schedule: Section detailing any costs associated with the release of information, if applicable

5. Emergency Contact: Contact details for emergency situations or urgent information requests

6. Digital Consent Verification: Additional section for electronic signature or digital verification methods when the form is completed online

1. Schedule A - Types of Information: Detailed checklist or list of specific types of information that may be released (e.g., medical records, financial information, educational records)

2. Schedule B - Authorized Recipients: List of all authorized recipients and their respective access levels, used when multiple parties may receive different types of information

3. Appendix 1 - Privacy Notice: Detailed privacy notice explaining how the information will be handled, stored, and protected

4. Appendix 2 - Identification Requirements: List of acceptable identification documents and verification requirements