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1. Interpreter Declaration: Required when the form needs to be interpreted for non-English speaking guardians, including interpreter's certification

2. Specific Medical History: Additional section for relevant medical history when required for specific procedures or ongoing treatment

3. Gillick Competence Assessment: Required for mature minors who may have capacity to provide their own consent, documenting the assessment of their competence

4. Religious or Cultural Considerations: Special section for documenting any religious or cultural requirements affecting medical treatment

5. Photography Consent: Optional consent for medical photography or imaging, if relevant to the treatment

1. Schedule 1: Detailed Treatment Plan: Detailed description of proposed medical procedures, risks, and expected outcomes

2. Schedule 2: Medical History Form: Comprehensive medical history including allergies, previous procedures, and current medications

3. Appendix A: Information Sheet: Plain language explanation of the medical procedure(s) and post-treatment care instructions

4. Appendix B: Emergency Protocol: Specific instructions for emergency situations and authorization for emergency treatment