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1. Alternate Decision Maker Authorization: Section designating other adults who can make medical decisions in parents'/guardians' absence

2. Special Medical Conditions: Details of any existing medical conditions, allergies, or specific health concerns that healthcare providers should be aware of

3. Religious or Cultural Considerations: Any religious or cultural preferences that should be considered in medical treatment

4. Medication Administration: Specific authorization for administration of routine medications during school hours or activities

5. Mental Health Treatment Consent: Specific provisions for mental health treatment or counseling if applicable

6. Travel Authorization: Authorization for medical treatment during travel or school trips

1. Schedule A - Medical History: Detailed medical history form including past surgeries, conditions, and ongoing treatments

2. Schedule B - Current Medications: List of current medications, dosages, and administration schedules

3. Schedule C - Immunization Record: Current immunization status and schedule

4. Schedule D - Insurance Information: Health insurance details and coverage information

5. Appendix 1 - Emergency Protocol: Step-by-step protocol for emergency situations, including specific medical conditions if applicable