I would like you to review all required elements and verify that they are all present. You should also explain why each element is required.

10 Requirements for a valid authorization: description of Information, name of person or entity authorized to use or disclose, recipient of information, purpose of disclosure, expiration, signature and date, statement of right to revoke, statement of re-disclosure, statement of eligibility, copy provided.

authorization release #4 example: https://mylearning.suny.edu/d2l/le/dropbox/159922/403385/DownloadAttachment?fid=10340709