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1. Religious/Cultural Preferences: Specific religious or cultural considerations that should be respected during treatment, particularly relevant in the UAE context

2. Alternate Decision Maker: Designation of additional persons who can make medical decisions if primary contact is unavailable

3. Specific Treatment Exclusions: Any specific treatments or procedures that the patient does not consent to

4. Language Preference: Preferred language for communication and whether translation services are required

5. Organ Donation Preferences: Patient's wishes regarding organ donation in case of fatal emergency

6. Prior Treatment History: Detailed medical history section for patients with complex medical conditions

1. Schedule A - Medical History Form: Detailed form for recording patient's complete medical history, allergies, and current medications

2. Schedule B - Insurance Information: Detailed insurance information and coverage details

3. Schedule C - Emergency Contacts: List of emergency contacts in order of priority with complete contact information

4. Appendix 1 - Approved Procedures: List of specific emergency procedures covered under this consent

5. Appendix 2 - Patient Rights: Summary of patient rights under UAE healthcare laws

6. Appendix 3 - Hospital Policies: Relevant hospital policies regarding emergency treatment and patient care