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1. Interpreter Certification: Required when the patient's primary language is not Arabic or English, certifying that the contents have been accurately translated

2. Legal Representative Authorization: Required when the authorization is being signed by someone other than the patient, including proof of authority

3. Specific Restrictions: Used when the patient wants to exclude certain types of records or set specific conditions for access

4. Emergency Contact: Optional section for including emergency contact information

5. Re-disclosure Notice: Additional provisions regarding further sharing of the obtained medical records

1. Schedule A - List of Medical Records: Detailed inventory of specific medical records being authorized for release

2. Schedule B - Healthcare Providers List: List of all healthcare providers authorized to release records if multiple providers are involved

3. Schedule C - Authorized Recipients: Detailed list of all authorized recipients if multiple parties are being granted access

4. Appendix 1 - Identification Documents: Copies of required identification documents for all relevant parties