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1. Specific Treatment Consent: Detailed authorization for specific procedures or treatments, used when the form is for a particular medical intervention

2. Religious/Cultural Preferences: Special instructions regarding religious or cultural considerations affecting treatment decisions

3. Organ Donation Authorization: Optional section for organ donation preferences in emergency situations

4. Mental Health Treatment: Additional authorization specific to mental health services, required when mental health treatment may be needed

5. Blood Product Authorization: Specific consent for blood transfusions or blood product treatments, important for patients with religious restrictions or specific preferences

6. Research Participation: Optional consent for participation in medical research or clinical trials

7. Telehealth Services: Authorization for virtual medical consultations and treatment, relevant for remote healthcare services

1. Schedule A - Medical History Form: Detailed medical history questionnaire to be completed by patient or guardian

2. Schedule B - List of Authorized Treatments: Comprehensive list of specific medical treatments covered by the authorization

3. Schedule C - Insurance Information: Details of insurance coverage and payment arrangements

4. Appendix 1 - Facility Policies: Summary of relevant healthcare facility policies affecting patient care

5. Appendix 2 - Patient Rights: Document outlining patient rights under Philippine healthcare laws

6. Appendix 3 - Emergency Protocol: Procedures to be followed in emergency situations