(c) In the absence of consent, disclosure may be made only to the following, and, except for disclosure pursuant to paragraph (1) of this subdivision, disclosure by parole officers and senior parole officers may be made only with the written approval of the area supervisor or designee or a parole services program specialist, such written approval to be placed in the parolee's file:

1. (1) an authorized officer or employee of the division, as defined in section 8011.2(g) of this Part;
2. (2) an authorized agent of the division, as defined in section 8011.2(h) of this Part, if disclosure is necessary to permit the agent to carry out his, her or its functions for the division;
3. (3) officers or employees of parole authorities of another state, or the United States Parole Commission, when such officers or employees are providing treatment or parole services pursuant to article 12-B of the Executive Law;
4. (4) a health care provider, but only when knowledge of the HIV-related information is necessary to provide care or treatment to the protected individual; for purposes of these regulations, disclosure to the medical director of the appropriate state correctional facility, or appropriate medical staff at a Division for Youth facility, is deemed to be necessary for any parole violator returned to the custody of the State Department of Correctional Services or the State Division for Youth;
5. (5) the medical director of a local correctional facility whenever a parole violator is being lodged at that correctional facility;
6. (6) any person to whom disclosure is ordered by a court of competent jurisdiction; and
7. (7) any person not listed in this subdivision, to whom disclosure is authorized pursuant to PHL, section 2782.1(a) through (o).

(h) The division will take appropriate steps to make all authorized officers, employees and agents aware of the provisions of the HIV- and AIDS-Related Information Act (PHL, article 27-F) concerning confidentiality of HIV-related information and the division's rules regarding confidentiality of records. All authorized officers, employees and agents of the division shall at all times maintain the confidentiality of any confidential HIV-related information in their possession.

(i) Form 4137—HIV information disclosure form.

NEW YORK STATE

DIVISION OF PAROLE

This information has been disclosed to you from confidential records which are protected by state law. State law prohibits you from making any further disclosures of this information without specific written consent of the person to whom it pertains, or as otherwise permitted by law. Any unauthorized further disclosure in violation of state law may result in a fine or jail sentence or both. A general authorization for the release of medical or other information is not sufficient authorization for further disclosure.