1. Special Categories of Information: Additional authorization requirements for sensitive information such as HIV status, mental health records, or genetic information

2. Electronic Records Access: Specific provisions for electronic health records access and transfer when applicable

3. Third Party Authorization: Required when someone other than the patient is authorized to sign, including legal representative documentation

4. Payment Required: Details of any fees associated with the records request, if applicable

5. International Transfer Provisions: Required when health information will be transferred outside Nigeria, ensuring compliance with NDPR cross-border transfer requirements

1. Schedule A - Detailed Record List: Itemized list of specific medical records, test results, or documents to be disclosed

2. Schedule B - Authorized Recipients: List of all authorized recipients when multiple parties are involved

3. Schedule C - Specific Conditions: Detailed conditions or restrictions on the use of disclosed information

4. Appendix 1 - Patient Rights Summary: Detailed explanation of patient rights under Nigerian law regarding health information disclosure

5. Appendix 2 - Privacy Notice: Comprehensive privacy notice as required by NDPR and National Health Act