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G . For Cadaveric Organ, Eye or Tissue Donation Purposes, to organ procurement organizations or other entities engaged in the procurement , banking, or transplantation of organs , eyes or tissue for the purpose of facilitating transplantation . H . For Certain Limited Research Purposes, provided that a waiver of the authorization required by HIPAA has been approved by an appropriate privacy board. I . To Avert a Serious Threat to Health or Safety, upon a belief in good faith that the use or disclosure is necessary to prevent a serious and imminent threat to the health or safety of a person or the public . J . For Specialized Government Functions, including disclosures of an inmates ' PHI to correctional institutions and disclosures of an individual' s PHI to authorized federal officials for the conduct of national security activities . K. For Workers ' Compensation Programs, only to the extent necessary to comply with laws relating to workers ' compensation or other similar programs . 4 . Disclosures of PHI Pursuant to an Authorization Procedure Disclosure Pursuant to Individual Authorization . Any requested disclosure to a third party (i . e . , not the individual to whom the PHI pertains) that does not fall within one of the categories. for which . disclosure is permitted or required under these Use and Disclosure Procedures may be made pursuant to an individual authorization . If disclosure pursuant to an authorization is requested, the following procedures should be followed : • Follow the procedures for verifying the identity of the individual (or individual ' s representative) set forth in " Verification of Identity of Those Requesting Protected Health Information . " • Verify that the authorization form is valid . Valid authorization forms are those that : • Are properly signed and dated by the individual or the individual ' s representative ; • Are not expired or revoked. The expiration date of the authorization form must be a specific date ( such as July 1 , 2003 ) or a specific time period ( e . g . , one year from the date of signature) , or to such time that employment with the County terminates ; • Contain a description of the information to be used or disclosed ; • Contain the name of the entity or person authorized to use or disclose the PHI ; • Contain the name of the recipient of the PHI ; • Contain a statement regarding the individual ' s right to revoke the authorization and the procedures for revoking authorizations ; and • Contain a statement regarding the possibility for a subsequent re- disclosure of the information; 20