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1. Child's Information: Complete details of the minor including full name, date of birth, national ID/Iqama number, and gender
2. Parent/Guardian Information: Full details of the parent/guardian providing consent, including their relationship to the child and contact information
3. Healthcare Provider Information: Details of the medical facility and healthcare providers who will be providing treatment
4. Scope of Consent: Clear outline of the medical procedures, treatments, or services being consented to
5. Duration of Consent: Time period for which the consent remains valid
6. Emergency Contact Information: Secondary contacts in case the primary guardian cannot be reached
7. Declaration and Signature: Formal declaration of understanding and agreement, with space for signatures of guardian and witness
1. Specific Medical Conditions: Section for listing any pre-existing medical conditions, allergies, or ongoing treatments - used when the child has known medical issues
2. Religious/Cultural Considerations: Special instructions regarding religious or cultural preferences affecting medical treatment - included when relevant to the family's beliefs
3. Traveling Minor Provisions: Additional provisions for when the minor may be traveling without primary guardian - used for school trips or travel situations
4. Alternative Guardian Authorization: Authorization for other family members to make medical decisions - used when parents may be unavailable
5. Language Preference: Specification of preferred language for communication - included when the family's primary language is not Arabic or English
1. Schedule A: List of Authorized Procedures: Detailed list of specific medical procedures and treatments covered by the consent
2. Schedule B: Medical History Form: Comprehensive medical history form including vaccinations, previous procedures, and family medical history
3. Schedule C: Emergency Protocol: Step-by-step protocol for emergency situations, including contact hierarchy and permitted emergency procedures
4. Appendix 1: Medication List: List of current medications, dosages, and administration schedules if applicable
5. Appendix 2: Healthcare Facility Policies: Summary of relevant healthcare facility policies regarding minor treatment and emergency procedures
Healthcare
Medical Services
Pediatric Care
Emergency Medical Services
School Health Services
Family Medicine
Medical Tourism
Sports Medicine
Healthcare Administration
Medical Insurance
Legal
Medical Administration
Patient Relations
Medical Records
Compliance
Risk Management
Quality Assurance
Emergency Services
Pediatrics
Family Medicine
School Health Services
Pediatrician
Family Physician
Emergency Room Doctor
School Nurse
Healthcare Administrator
Medical Records Officer
Legal Compliance Officer
Patient Relations Manager
Medical Secretary
Hospital Director
Clinic Manager
Healthcare Risk Manager
Medical Insurance Coordinator
School Health Coordinator
Healthcare Quality Assurance Manager
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