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1. Emergency Contact Authorization: Additional section authorizing emergency contacts to receive information or make decisions, used when patient wants to designate specific individuals

2. Interpreter Declaration: Section to be included when the form needs to be explained through an interpreter, including interpreter's certification of accurate translation

3. Mental Capacity Declaration: Required when there are questions about the patient's capacity to provide informed consent, including healthcare provider's assessment

4. Specific Treatment Risks: Detailed section outlining specific risks of proposed treatments, used for complex procedures requiring explicit informed consent

5. Insurance Information: Section for health insurance details and billing authorization, included when relevant to the treatment or facility

6. Photography/Recording Consent: Optional authorization for medical photography or recording, used when procedures may require documentation

1. Schedule 1: Authorized Procedures List: Detailed list of specific medical procedures or treatments being authorized

2. Schedule 2: Authorized Personnel: List of specific healthcare providers or roles authorized to provide treatment or access information

3. Schedule 3: Authorized Information Access: Specific types of medical information that can be accessed or shared

4. Appendix A: Patient Rights Information: Detailed information about patient rights under New Zealand law

5. Appendix B: Revocation Form: Form that can be used to revoke the authorization

6. Appendix C: Glossary of Medical Terms: Definitions of medical terms used in the authorization form for patient reference