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1. Guardian Authorization: Required when the patient is a minor or legally incapacitated, including guardian's details and relationship to patient

2. Religious/Cultural Preferences: Specific religious or cultural considerations affecting medical treatment, particularly relevant in Saudi Arabian context

3. Alternative Treatment Preferences: Patient's preferences regarding alternative treatments or procedures

4. Interpreter Certification: Required when the patient requires language interpretation services

5. Power of Attorney Details: Include when medical decisions are delegated to a power of attorney

6. Travel Authorization: Required when authorization includes permission for medical transport or treatment in different facilities

7. Specific Treatment Exclusions: List of treatments or procedures specifically not authorized by the patient

1. Schedule A - Authorized Procedures: Detailed list of specific medical procedures being authorized

2. Schedule B - Risk Disclosure: Comprehensive list of potential risks and complications associated with the authorized treatments

3. Schedule C - Medical History: Patient's relevant medical history, allergies, and current medications

4. Schedule D - Emergency Contacts: List of emergency contacts and their contact information

5. Appendix 1 - Facility Policies: Relevant hospital or facility policies affecting patient care and treatment

6. Appendix 2 - Patient Rights: Copy of the facility's patient rights and responsibilities document