The Medical Waiver Of Liability Form is a crucial legal document used in Indonesian healthcare settings to establish clear understanding and agreement between healthcare providers and patients regarding medical procedures and their associated risks. This document is essential when providing any medical treatment or procedure where there are inherent risks or potential complications. It complies with Indonesian healthcare regulations, including Law No. 36 of 2009 on Health and Minister of Health Regulation No. 290/MENKES/PER/III/2008 regarding informed consent. The form serves multiple purposes: protecting healthcare providers from unwarranted liability claims, ensuring patients are fully informed about their treatment, and documenting informed consent in accordance with Indonesian legal requirements. It is particularly important in both routine and specialized medical procedures, surgical interventions, and experimental treatments.
Your data doesn't train Genie's AI
You keep IP ownership of your information
Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.
OR
Let Ƶ's market-leading legal AI identify missing terms, unusual language, compliance issues and more - in just seconds.
1. Parties: Identification of the healthcare provider/facility and the patient (including details of legal representatives if the patient is a minor or legally incompetent)
2. Background: Context of the medical treatment or procedure necessitating the waiver
3. Definitions: Clear definitions of medical terms, procedures, and legal terminology used in the document
4. Acknowledgment of Medical Procedure: Detailed description of the medical procedure(s) to be performed
5. Risk Disclosure: Comprehensive list of potential risks, complications, and side effects associated with the procedure
6. Voluntary Consent: Patient's acknowledgment of voluntary agreement and understanding of the risks
7. Waiver of Liability: Scope of liability waiver and limitations on healthcare provider's responsibility
8. Right to Refuse Treatment: Acknowledgment of the patient's right to refuse or discontinue treatment
9. Emergency Authorization: Consent for emergency procedures if complications arise during treatment
10. Governing Law: Statement that the agreement is governed by Indonesian law
11. Execution: Signature blocks for all parties, including witnesses if required
1. Alternative Treatments: Description of alternative treatment options when multiple choices are available
2. Translator Certification: Required when the patient is not fluent in the language of the waiver
3. Photography Consent: For procedures where before/after photography or video recording may be needed
4. Research Participation: When the procedure is part of a medical research study
5. Insurance Declaration: Details of insurance coverage and payment responsibilities when relevant
6. Religious or Cultural Considerations: Specific provisions related to religious or cultural requirements affecting treatment
7. Telemedicine Provisions: Required for remote medical consultations or telehealth services
1. Schedule A - Detailed Procedure Description: Technical details of the medical procedure(s) to be performed
2. Schedule B - Specific Risks and Complications: Detailed list of procedure-specific risks and potential complications
3. Schedule C - Post-Procedure Care Instructions: Detailed instructions for post-procedure care and recovery
4. Schedule D - Emergency Contact Information: List of emergency contacts and relevant medical personnel
5. Appendix 1 - Medical History Form: Patient's relevant medical history and current medications
6. Appendix 2 - Informed Consent Checklist: Checklist confirming all required information has been provided and understood
Relevant legal definitions
Clauses
Relevant Industries
Healthcare
Medical Services
Hospitals
Clinical Practices
Dental Services
Pharmaceutical
Medical Research
Insurance
Alternative Medicine
Telemedicine
Sports Medicine
Rehabilitation Services
Relevant Teams
Legal
Compliance
Medical Administration
Risk Management
Patient Relations
Quality Assurance
Clinical Operations
Medical Records
Insurance Coordination
Administrative Services
Healthcare Operations
Relevant Roles
Medical Director
Hospital Administrator
Chief Medical Officer
Legal Counsel
Compliance Officer
Risk Manager
Medical Practitioner
Nurse Manager
Patient Relations Manager
Quality Assurance Manager
Healthcare Facility Manager
Medical Records Officer
Insurance Coordinator
Clinical Operations Manager
Administrative Director
Find the exact document you need
Simple General Release Form
An Indonesian law-compliant document where one party releases legal claims against another in exchange for consideration.
Download
Separation Agreement And General Release
An Indonesian law-governed agreement that documents employment termination terms and mutual release of claims between employer and employee.
Download
Waiver Release And Hold Harmless Agreement
An Indonesian law-governed agreement where participants acknowledge risks and waive liability rights while providing indemnification to the organizing party.
Download
Release And Hold Harmless Form
An Indonesian law-compliant agreement that releases one party from liability and provides indemnification protection, structured according to Indonesian Civil Code requirements.
Download
Waiver Indemnification Agreement
An Indonesian law-governed agreement establishing waiver of rights and indemnification obligations between parties, structured according to Indonesian Civil Code requirements.
Download
Termination Of Lease Agreement By Tenant Letter
An Indonesian law-compliant formal notice from a tenant to a landlord declaring the intention to terminate a lease agreement, including key termination details and arrangements.
Download
Release Waiver Agreement
An Indonesian law-compliant agreement where one party waives their right to pursue legal claims against another party for specified activities or circumstances.
Download
Mutual Release Contract
An Indonesian law-governed bilateral agreement where parties mutually release each other from claims, obligations, or liabilities, complying with local regulatory requirements including the Civil Code.
Download
Model Release Agreement
An Indonesian law-compliant agreement authorizing the use of a model's image and defining the terms of usage rights and compensation.
Download
Press Release Contract
An Indonesian law-governed agreement establishing terms and conditions for press release services between a company and its PR service provider.
Download
Film Release Agreement
An agreement governing film distribution rights and release terms in Indonesia, complying with local film industry regulations and censorship requirements.
Download
Handyman Waiver Form
An Indonesian-law compliant waiver form for handyman services, establishing liability limitations and protecting both service provider and client interests.
Download
Likeness Agreement
An Indonesian law-governed agreement regulating the use of an individual's likeness, image, and personal characteristics by another party.
Download
Press Release Agreement
An Indonesian law-governed agreement establishing terms for press release preparation, approval, and distribution between organizations and PR service providers.
Download
Video Release Agreement
An Indonesian law-governed agreement that authorizes the recording, usage, and distribution of video content while protecting the rights of all parties involved.
Download
Release And Waiver Of Liability
An Indonesian law-compliant agreement where participants acknowledge risks and waive rights to legal claims for specific activities or services.
Download
Contract And Release
An Indonesian law-governed agreement that establishes new contractual obligations while releasing specific claims or rights between parties, requiring compliance with local language and legal requirements.
Download
Insurance Hold Harmless Agreement
An Indonesian law-governed agreement establishing insurance-backed indemnification obligations and risk allocation between parties, structured under Indonesian insurance regulations and civil code requirements.
Download
Debt Waiver Agreement
An Indonesian law-governed agreement where a creditor formally releases a debtor from specified debt obligations, complying with the Indonesian Civil Code and relevant banking regulations.
Download
Agreement Not To Sue
An Indonesian law-compliant agreement where parties formally commit not to pursue legal action regarding specified claims or disputes.
Download
Termination Of Contract Of Lease Letter
An Indonesian law-compliant formal letter used to terminate a lease agreement, specifying termination terms and conditions between lessor and lessee.
Download
Release Of Security Agreement
An Indonesian law-governed document that formally releases and terminates security interests over assets following the satisfaction of secured obligations.
Download
General Waiver Of Liability Form
An Indonesian law-compliant liability waiver protecting businesses from claims related to voluntary participation in activities or facility use.
Download
General Release And Waiver
An Indonesian law-governed release and waiver agreement for formally discharging claims and obligations between parties.
Download
Covenant Not To Sue Settlement Agreement
An Indonesian law-governed settlement agreement with covenant not to sue provisions, designed to resolve disputes while preventing future litigation.
Download
Talent Release Agreement
An Indonesian law-governed agreement authorizing the use of a talent's image, likeness, and performance rights for specified purposes, drafted in both Indonesian and English.
Download
Food Waiver And Indemnification Agreement
An Indonesian law-governed agreement that establishes liability waivers and indemnification terms between food service providers and consumers, protecting businesses while ensuring compliance with local food safety regulations.
Download
Equipment Rental Release Form
An Indonesian law-compliant equipment rental agreement that includes rental terms and liability release provisions for equipment rental transactions.
Download
Hold Harmless Release Agreement
An Indonesian law-governed agreement that releases one party from legal liability for specified risks or damages, establishing formal risk transfer arrangements between parties.
Download
NDA Release Form
An Indonesian law-compliant document that releases parties from specific NDA obligations while maintaining necessary confidentiality protections.
Download
Release Of Personal Guaranty
An Indonesian law-governed document that formally releases an individual from their obligations as a personal guarantor of a debt or other obligation.
Download
Event Waiver Of Liability Form
An Indonesian law-governed liability waiver protecting event organizers from claims arising from participant involvement in events, aligned with the Indonesian Civil Code and consumer protection regulations.
Download
Release And Confidentiality Agreement
An Indonesian law-governed agreement combining confidentiality obligations and release of claims, suitable for protecting sensitive information while resolving specified claims between parties.
Download
Receipt Release And Refunding Agreement Form
An Indonesian law-compliant agreement documenting refund receipt and mutual release of claims between parties.
Download
Employee Termination Agreement And Mutual Release
An Indonesian law-governed agreement that formalizes employment termination and provides mutual releases between employer and employee, ensuring compliance with local labor regulations.
Download
Waiver And Indemnity Agreement
An Indonesian law-compliant Waiver and Indemnity Agreement for managing risk allocation and liability between parties.
Download
Termination Of Agency Agreement Letter
A formal letter terminating an agency agreement under Indonesian law, specifying termination terms and post-termination obligations.
Download
Non Liability Contract
An Indonesian law-governed agreement establishing liability limitations between parties, structured in compliance with the Indonesian Civil Code and consumer protection regulations.
Download
Employee Termination Release Agreement
An Indonesian law-governed agreement that documents employment termination terms, including severance payments and mutual releases between employer and employee.
Download
Property Release Agreement
A legal document governed by Indonesian law that formalizes the release and transfer of property rights between parties, complying with local property regulations and transfer requirements.
Download
ұԾ’s Security Promise
Genie is the safest place to draft. Here’s how we prioritise your privacy and security.
Your documents are private:
We do not train on your data; ұԾ’s AI improves independently
All data stored on Genie is private to your organisation
Your documents are protected:
Your documents are protected by ultra-secure 256-bit encryption
We are ISO27001 certified, so your data is secure
Organizational security:
You retain IP ownership of your documents and their information
You have full control over your data and who gets to see it
.png)