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1. Alternate Decision Maker: Details of person authorized to make decisions if the patient becomes incapacitated - include when patient wants to designate specific individuals for future decision-making

2. Specific Treatment Restrictions: Any specific procedures or treatments the patient does not consent to - include when patient has specific exclusions or religious/personal restrictions

3. Interpreter Declaration: Section for interpreter details and confirmation that the form was explained in patient's preferred language - include when patient's primary language is not English or Chinese

4. Mental Capacity Statement: Declaration of patient's current mental capacity - include when there are concerns about current or future mental capacity

5. Special Instructions: Any specific care instructions, allergies, or medical conditions - include when patient has particular medical considerations

1. Schedule 1: Glossary of Medical Terms: Definitions and explanations of medical terminology used in the authorization form

2. Schedule 2: List of Authorized Procedures: Detailed list of specific medical procedures covered by the authorization

3. Appendix A: Patient Rights Information: Summary of patient rights under Hong Kong healthcare laws

4. Appendix B: Privacy Policy: Details of how patient's medical information will be handled and protected under the Personal Data (Privacy) Ordinance