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1. Interpreter Declaration: Required when information has been provided through an interpreter, including interpreter details and confirmation of accurate translation

2. Guardian/Representative Authorization: Included when the patient is unable to provide consent themselves, detailing the legal authority of the person providing consent

3. Religious or Cultural Considerations: Specific instructions regarding religious or cultural requirements that may affect treatment

4. Research Participation: Required when the treatment is part of a research study or clinical trial

5. Photography Consent: Authorization for medical photography or recording for treatment documentation or educational purposes

6. Blood Product Authorization: Specific section for consent or refusal of blood products and transfusions

7. Advance Care Directives: Reference to any existing advance care directives or living will that may affect treatment decisions

1. Schedule A - Detailed Treatment Plan: Comprehensive medical treatment plan including timing, stages, and specific procedures

2. Schedule B - Risk Disclosure: Detailed list of potential risks, complications, and statistical information about success rates

3. Schedule C - Post-Treatment Care: Instructions for post-treatment care, follow-up appointments, and recovery guidelines

4. Schedule D - Cost Information: Breakdown of treatment costs and payment arrangements if applicable

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

6. Appendix 2 - Patient Rights: Summary of relevant patient rights under the Code of Health and Disability Services Consumers' Rights