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1. Special Medical Conditions: Section for declaring pre-existing conditions or allergies, used when relevant to the procedure

2. Insurance Information: Details about insurance coverage and payment responsibilities, used for non-covered procedures

3. Photography Consent: Permission to photograph/record procedure for medical documentation, used in surgical or documentary cases

4. Research Participation: Consent for use of medical data in research, used in academic or research settings

5. Translator Confirmation: Confirmation that terms were translated for non-English speakers, used when translation services are provided

6. Substitute Decision Maker: Additional terms for cases where someone other than the patient is providing consent

7. Recurring Treatment: Additional terms for ongoing or repeated procedures, used for series of treatments

1. Schedule A - Procedure Details: Detailed description of the medical procedure or treatment

2. Schedule B - Specific Risks: Comprehensive list of procedure-specific risks and potential complications

3. Schedule C - Post-Procedure Care: Instructions for after-care and recovery

4. Schedule D - Emergency Contacts: List of emergency contacts and relevant medical providers

5. Appendix 1 - Medical History Form: Standard form for collecting relevant medical history

6. Appendix 2 - Informed Consent Checklist: Checklist confirming all aspects of informed consent have been addressed