51��Ƶ����

1. Specific Treatment Restrictions: Used when parents/guardians wish to exclude certain treatments or procedures

2. Religious or Cultural Considerations: Include when specific religious or cultural practices need to be considered in medical treatment

3. Blood Transfusion Authorization: Separate section for explicit consent or refusal of blood transfusions

4. Mental Health Treatment Authorization: Include when authorization for mental health treatment may be needed

5. Photography Consent: Authorization for medical photography for treatment purposes

6. Research Participation: Used when the minor might be involved in medical research or teaching

7. Travel Authorization: Include when the minor may need medical treatment while traveling

8. Insurance Information: Optional section for private insurance details if applicable

1. Schedule A - Detailed Medical History: Comprehensive medical history form including vaccinations, previous surgeries, and family medical history

2. Schedule B - Medication List: Detailed list of current medications, dosages, and administration schedules

3. Schedule C - Authorized Persons: List of people authorized to make medical decisions or receive medical information about the minor

4. Appendix 1 - Emergency Protocol: Specific steps to be followed in various emergency scenarios

5. Appendix 2 - Allergy Action Plan: Detailed protocol for managing known allergies and allergic reactions

6. Appendix 3 - Consent Forms for Specific Procedures: Template consent forms for commonly needed procedures