1. Special Instructions: Used when specific handling instructions or restrictions need to be included for the released information

2. Emergency Contact: Include when a secondary contact person needs to be designated for emergency situations

3. Redisclosure Notice: Required when dealing with certain types of protected information (e.g., health records) to prohibit unauthorized redisclosure

4. Electronic Transmission Authorization: Include when information may be transmitted electronically, specifying security measures and accepted transmission methods

5. Capacity Assessment: Required when there are concerns about the individual's capacity to provide informed consent

1. Schedule A - Detailed Information List: Itemized list of specific documents or information to be released when the list is too extensive for the main form

2. Schedule B - Authorized Recipients List: List of all authorized recipients when multiple parties are approved to receive the information

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