Language used in new CE panelist acknowledgement can take the following form:
               “I acknowledge and understand that the Social Security Act and its implementing
                  Regulation No.1 (42 U.S.C. 1306; 20 C.F.R. 401)
                  prohibit the unauthorized disclosure of information obtained in the administration
                  of Social
                  Security programs and make such disclosure a crime. These prohibitions extend to any
                  background data
                  furnished to the provider in conjunction with the performance of the services contracted
                  for herein,
                  and to any reports generated as a result of providing such services, including any
                  copies of such
                  reports retained by the provider. Unauthorized disclosure of such records by the provider
                  is
                  prohibited. I further acknowledge and understand that should referral of any individual,
                  or data
                  pertaining to an individual, to any third party provider, (for additional diagnostic
                  studies,
                  clerical or transcription services, messenger services, etc.) become necessary in
                  providing services
                  contracted for herein, such
                  third-party
                  provider must be made aware that services are being performed in connection with a
                  Social Security
                  program, and that improper disclosure of information about the subject individual
                  is
                  prohibited.”