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1. Emergency Contact Authorization: Additional section when authority needs to be extended to emergency contacts

2. Specific Treatment Exclusions: Section listing any procedures or treatments specifically excluded from the authorization

3. Mental Capacity Statement: Required when there are questions about the patient's capacity to make decisions

4. Third Party Authorization: When authority is being granted to someone other than the healthcare provider

5. Insurance Information: When the authority includes permission to deal with insurance providers

6. Interpreter Declaration: Required when the form is explained through an interpreter

7. Religious or Cultural Preferences: When specific religious or cultural considerations need to be documented

1. Schedule A - Authorized Procedures: Detailed list of specific medical procedures covered by the authority

2. Schedule B - Authorized Recipients: List of specific healthcare providers or institutions authorized to receive information

3. Schedule C - Supporting Documentation: Copies of relevant identification documents or previous medical authorizations

4. Appendix 1 - Glossary of Medical Terms: Definitions of medical terms used in the authorization form

5. Appendix 2 - Patient Rights Information: Summary of patient rights under Irish healthcare law