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1. Guardian/Representative Authorization: Required when the patient is a minor, unconscious, or legally incompetent - includes guardian's details and relationship to patient

2. Religious/Cultural Preferences: Optional section for specifying any religious or cultural considerations that should be respected during emergency treatment

3. Specific Medical Conditions: Section for listing pre-existing conditions, allergies, or specific medical concerns that could affect emergency treatment

4. Language Interpretation: Required when the patient/guardian is not fluent in Arabic or English, confirming that the form has been explained in their preferred language

5. Witness Section: Additional verification section used in high-risk situations or when required by facility policy

1. Schedule A - Medical Procedures List: Detailed list of common emergency procedures covered under the release

2. Schedule B - Patient Rights Summary: Summary of patient rights under Saudi healthcare laws and facility policies

3. Appendix 1 - Emergency Contacts: List of patient's emergency contacts and their contact information

4. Appendix 2 - Medical History Form: Optional form for recording relevant medical history and current medications