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278-When is an authorization required from the patient before a provider or health plan engages in marketing to that individual. (c) To determine existence of insanity at time of offense, under CJA subsection (e).(1) Examination costs. The Act does not define the "written consent" needed to permit disclosure under the Privacy Act. Implied consent, however, is insufficient. Benefit TypeMedical Examination. Items 1 - 17 — (Physical Examination) of the CG 719K DO NOT have to be completed. Permission to release specific information about me. Mode and Order of Examining Witnesses and Presenting Evidence. Give permission for medical tests, medicines, surgery, or other treatments.