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1. Urgent Request: Additional section for cases requiring expedited processing, including reason for urgency and requested timeline

2. Legal Authority: Section for cases where the requestor is a legal representative, requiring details of legal authority (power of attorney, court order, etc.)

3. Third Party Authorization: Section for authorizing release of information to a third party, such as another healthcare provider or legal representative

4. Capacity Assessment: Section required when there are questions about the patient's capacity to consent to the release of information

5. Research Purpose: Additional details required when information is being requested for research purposes, including ethics board approval references

6. Record Format Preference: Section specifying preferred format for receiving records (electronic, paper, etc.) and delivery method

1. Schedule A - Identification Requirements: List of acceptable identification documents and requirements for verification

2. Schedule B - Fee Schedule: Detailed breakdown of fees for different types of records and processing times

3. Schedule C - Supporting Documentation Requirements: List of required supporting documents for different types of requests (e.g., proof of legal authority, death certificate for deceased patient records)

4. Appendix 1 - Privacy Notice: Detailed information about how the requested information will be used, stored, and protected

5. Appendix 2 - Patient Rights Information: Summary of patient rights regarding access to health information and privacy protection