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1. Interpreter Declaration: Required when the patient's primary language is not Danish, confirming that the consent has been explained in their preferred language

2. Legal Representative Authorization: Required when consent is given by someone other than the patient (e.g., parent, guardian, power of attorney)

3. Specific Exclusions: Optional section to explicitly state any medical information that should NOT be included in the report

4. Revocation Rights: Optional but recommended section explaining how the patient can revoke their consent

5. Electronic Communication Consent: Required if the medical report will be transmitted electronically

6. Third Party Disclosure Consent: Required if the medical report may be shared with additional parties beyond the primary recipient

1. List of Specific Records: Detailed list of specific medical records, tests, or reports being requested

2. Authorized Recipients List: If multiple recipients are authorized, detailed list with full contact information for each

3. Identity Verification Documents: Copies of identification documents required to verify the patient's identity

4. Legal Representative Documentation: If applicable, documentation proving legal authority to act on patient's behalf