1. Interpreter Declaration: Required when the patient's primary language is not Arabic or English, confirming that all information has been properly translated

2. Alternative Treatment Declaration: Used when patient is choosing alternative medical care, documenting their intended alternative treatment plan

3. Mental Health Assessment: Required when there are concerns about the patient's mental state or decision-making capacity

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

1. Medical Assessment Summary: Brief medical report detailing current condition, vital signs, and recommended treatment being declined

2. Risk Documentation Form: Detailed list of specific risks explained to the patient based on their condition

3. Patient Education Materials: Copies of any written materials provided to patient regarding their condition and risks

4. Follow-up Care Instructions: Instructions for self-care and circumstances under which to seek immediate medical attention