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1. Interpreter Declaration: Required when the patient's primary language is not English, confirming that the form has been translated

2. Religious or Cultural Preferences: Section detailing any religious or cultural considerations that may affect treatment

3. Photography Consent: Authorization for medical photography or imaging for documentation purposes

4. Research Participation: Optional consent for use of medical information in research studies

5. Blood Product Authorization: Specific consent for blood transfusions or blood product administration

6. Student Training Consent: Permission for medical students or trainees to observe or participate in care

7. Guardian Information: Required when the patient is a minor or lacks capacity to consent

1. Schedule A - Procedure Details: Detailed technical description of the specific medical procedure(s)

2. Schedule B - Risk Disclosure: Comprehensive list of potential risks and complications

3. Schedule C - Post-Treatment Care: Instructions for post-treatment care and follow-up

4. Appendix 1 - Medical History Form: Patient's relevant medical history and current medications

5. Appendix 2 - Emergency Contacts: List of emergency contacts and their relationship to patient

6. Appendix 3 - Facility Policies: Relevant hospital or facility policies affecting patient care