additional elements or procedures not considered routine to general patient examinations. This includes, but may not be limited to, photographic documentation of injuries, samples collection and audio recording of interview. Additional consents may be contained in the same consent form, but should be clearly marked and have individual signature or consent blocks (see Template 1). Consent to Release to Third Parties (investigatory bodies, law enforcement, commissions, etc.) The release or disclosure to third parties of any records collected during the examination requires a separate and distinct informed consent (see Template 2). Whether this consent can be collected at the time of the examination depends on fulfillment of the elements of informed consent. For example, if an investigation has not yet commenced and there is insufficient information available at the time of the examination to assess the risks or possibilities of releasing the information, the patient should not be asked to consent to a release at that time. Released information should be accompanied by a statement indicating that the released information contains confidential medical records and may not be disclosed to anyone other than the person(s) listed. Notes: 26. Persons, generally speaking, under the age of 18, although it may vary by country. 37

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