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1. Special Categories of Information: Additional section required when collecting sensitive information such as mental health records, genetic information, or HIV status

2. Research Participation: Optional section for when health information may be used in research, including specific consent for research purposes

3. Electronic Health Records Access: Section required when providing access to electronic health records systems or patient portals

4. International Data Transfer: Required when health information may be transferred outside New Zealand

5. Photography and Recording Consent: Additional section needed when clinical photography or recording may be part of treatment or documentation

1. Schedule 1: Detailed Privacy Notice: Comprehensive privacy notice explaining all aspects of information handling in detail, including all 12 rules of the Health Information Privacy Code

2. Schedule 2: Authorized Recipients List: List of specific healthcare providers and organizations with whom information may be shared, including their roles and contact details

3. Schedule 3: Security Safeguards: Detailed description of security measures in place to protect health information, including technical and organizational measures

4. Appendix A: Glossary of Terms: Definitions of technical and medical terms used in the form to ensure patient understanding

5. Appendix B: Patient Rights Summary: Summary of rights under the Health and Disability Commissioner Act and Privacy Act in plain language