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1. Special Medical Conditions: Used when the patient has specific medical conditions that healthcare providers should be aware of

2. Religious or Cultural Considerations: Include when there are specific religious or cultural preferences that affect treatment decisions

3. Insurance Information: Added when specific insurance details need to be included for coverage purposes

4. Travel Details: Required when the permission is for medical treatment while traveling abroad

5. Temporary Guardianship: Include when temporary guardianship powers are being granted along with medical permission

6. Language Preference: Used when the patient requires medical information in a specific language

7. Prohibited Treatments: Include when there are specific treatments or procedures that are explicitly not authorized

1. Medical History Summary: Detailed summary of relevant medical history, allergies, and current medications

2. Copies of Insurance Cards: Photocopies or scans of relevant health insurance cards

3. Identification Documents: Copies of relevant identification documents for both patient and grantor

4. Existing Medical Directives: Copies of any existing medical directives or healthcare instructions

5. Proof of Relationship: Documentation proving the relationship between grantor and patient (if applicable)