��������Ƶ

1. Special Medical Conditions: Include when the authorizing party has specific medical conditions that need to be highlighted

2. International Travel Authorization: Added when the authorization needs to be valid for medical care in other countries

3. Insurance Information: Include when specific insurance details need to be shared with the authorized party

4. Religious or Cultural Preferences: Added when specific religious or cultural considerations need to be respected in medical decisions

5. Revocation Clause: Optional clause explaining how the authorization can be revoked before expiration

6. Language Preference: Include when the authorizing party has specific language requirements for medical communication

1. Appendix A - Identification Documents: Copies of valid ID documents for both authorizing and authorized parties

2. Appendix B - Proof of Relationship: Documents proving relationship between parties (if applicable)

3. Appendix C - Medical History Summary: Brief summary of relevant medical history and current conditions

4. Appendix D - Witness Identification: Copies of witness identification documents

5. Appendix E - Existing Medical Directives: Copies of any existing medical directives or preferences