1. Specific Exclusions: Section to explicitly state any information that should NOT be released, used when patient wants to restrict certain aspects of their records

2. Electronic Records Authorization: Additional authorization specifically for release of electronic health records, used when records are stored in digital format

3. Third Party Authorization: Section for cases where someone other than the patient is authorized to sign the release (e.g., legal guardian), used when patient lacks capacity

4. Emergency Contact Information: Details of emergency contacts, used in cases where ongoing care coordination is required

5. Re-disclosure Notice: Special notice about potential re-disclosure of information by recipients, used when information might be shared with additional parties

1. Schedule A - Detailed Record List: Itemized list of specific records and documents authorized for release

2. Schedule B - Consent Revocation Form: Form that can be used by the patient to revoke the authorization

3. Appendix 1 - Glossary of Terms: Definitions of medical and legal terms used in the release form

4. Appendix 2 - Patient Rights Summary: Detailed explanation of patient rights under Irish mental health and data protection laws