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1. Specific Medical Conditions: Used when the ward has pre-existing medical conditions requiring specific consent provisions

2. Mental Health Treatment: Additional provisions specifically for mental health treatment decisions when applicable

3. Religious or Cultural Considerations: Special instructions based on religious or cultural beliefs affecting medical treatment

4. Interstate/International Travel Provisions: Additional authorizations for medical treatment when traveling outside the state/country

5. Alternate Guardian Designation: Appointment of alternative guardian(s) for medical decisions when primary guardian is unavailable

6. End-of-Life Decisions: Specific provisions for palliative care and end-of-life treatment decisions if needed

1. Schedule A - Medical History: Detailed medical history of the ward including allergies, current medications, and pre-existing conditions

2. Schedule B - Emergency Contacts: List of emergency contacts including alternate guardians and preferred medical providers

3. Schedule C - Healthcare Provider Information: Details of regular healthcare providers, specialists, and preferred hospital facilities

4. Schedule D - Excluded Treatments: List of any specific medical treatments or procedures that are explicitly excluded from the consent

5. Appendix 1 - Supporting Documentation: Copies of guardianship orders, relevant court documents, or power of attorney

6. Appendix 2 - Medical Insurance Information: Details of medical insurance coverage and policy information