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1. Third Party Authorization: Include when authorizing specific individuals or entities other than the primary insurance company to access information

2. Multiple Policy Reference: Include when the authorization covers multiple insurance policies or providers

3. Specific Restrictions: Include when certain information or access needs to be explicitly restricted

4. Revocation clause: Include when specifying conditions under which the authorization can be revoked before the end date

5. Language Declaration: Include when the policyholder's primary language is not English, confirming they understand the contents

1. Schedule A - Medical Information: Detailed list of specific medical conditions or records being authorized for release

2. Schedule B - Authorized Parties: List of all authorized individuals or entities with their contact details and relationship to the policyholder

3. Appendix 1 - Identity Documents: Copies of relevant identity documents of the policyholder and authorized parties

4. Appendix 2 - Policy Information: Details of all relevant insurance policies covered by this authorization