The Health Waiver is a crucial legal document used in Indonesian healthcare settings to establish clear understanding and agreement between healthcare providers and patients/participants regarding medical procedures, treatments, or health-related activities. This document is essential when there are inherent risks in medical procedures, physical activities, or health-related services. It must comply with Indonesian health regulations, including Law No. 36 of 2009 on Health and Minister of Health regulations on informed consent. The waiver typically includes comprehensive risk disclosures, medical history declarations, and emergency provisions, while being structured to protect both the healthcare provider and the patient's rights under Indonesian law. It's particularly important in situations involving elective procedures, experimental treatments, or activities with potential health risks.
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1. Parties: Identification of the individual signing the waiver and the healthcare provider/facility
2. Background: Context of the waiver, including the general purpose and scope of medical activities covered
3. Definitions: Key terms used in the waiver, including medical terminology and legal concepts
4. Acknowledgment of Risks: Detailed acknowledgment of potential risks and complications associated with the medical procedure or activity
5. Voluntary Participation: Declaration that participation is voluntary and the participant is of legal age and sound mind
6. Release of Liability: Specific terms of the liability release, including what is and isn't covered
7. Medical History Declaration: Participant's confirmation of accurate disclosure of relevant medical history
8. Emergency Authorization: Authorization for emergency medical treatment if needed
9. Governing Law: Specification that Indonesian law governs the waiver
10. Execution: Signature blocks, witness requirements, and date of execution
1. Specific Medical Conditions: Additional section for participants with pre-existing conditions requiring special consideration
2. Photography and Media Release: Optional consent for medical photography or documentation, if relevant
3. Insurance Declaration: Section regarding participant's insurance coverage and understanding of coverage limitations
4. Language Declaration: For non-Indonesian speakers, confirmation that the document has been explained in a language they understand
5. Covid-19 Specific Provisions: Additional provisions related to Covid-19 risks and protocols, if still relevant
6. Third Party Authorization: For cases where a guardian or authorized representative is signing on behalf of the participant
1. Schedule A - Specific Risks: Detailed list of specific risks associated with the particular medical procedure or activity
2. Schedule B - Medical History Form: Standard form for declaring relevant medical history and current conditions
3. Schedule C - Emergency Contact Information: Detailed emergency contact information and preferred hospital/doctor information
4. Appendix 1 - Informed Consent Details: Detailed explanation of the procedure/activity in lay terms
5. Appendix 2 - Facility Rules and Protocols: Specific rules and protocols that must be followed during the medical procedure or activity
Relevant legal definitions
Clauses
Relevant Industries
Healthcare
Sports and Recreation
Education
Wellness and Fitness
Medical Tourism
Clinical Research
Alternative Medicine
Pharmaceutical
Medical Device
Occupational Health
Emergency Services
Relevant Teams
Legal
Compliance
Risk Management
Patient Relations
Clinical Operations
Administrative Services
Medical Records
Quality Assurance
Emergency Services
Research and Development
Relevant Roles
Medical Director
Legal Counsel
Risk Manager
Healthcare Administrator
Clinical Director
Compliance Officer
Patient Relations Manager
Medical Practitioner
Research Coordinator
Sports Facility Manager
Wellness Center Director
Physical Therapist
Clinical Research Director
Medical Tourism Coordinator
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