1. Emergency Contact Authorization: Authorization for emergency contacts to make decisions if patient becomes incapacitated

2. Language Confirmation: Confirmation that the form has been explained in a language understood by the patient, useful when dealing with non-Arabic/non-English speaking patients

3. Religious/Cultural Considerations: Specific considerations or modifications based on patient's religious or cultural requirements

4. Photography/Recording Consent: Optional consent for medical photography or recording of the procedure for medical records

5. Research/Teaching Authorization: Optional consent for use of medical information for research or teaching purposes

6. Alternative Treatments Declined: Documentation of alternative treatments offered and declined by patient

7. Insurance Declaration: Details of insurance coverage and patient's acknowledgment of financial responsibilities

1. Schedule A - Detailed Procedure Description: Technical and detailed description of the medical procedure or treatment

2. Schedule B - Specific Risks Register: Comprehensive list of all potential risks and their likelihood of occurrence

3. Schedule C - Post-Procedure Care Instructions: Detailed instructions for post-procedure care and recovery

4. Schedule D - Medical History Form: Patient's relevant medical history and current medications

5. Appendix 1 - Glossary of Medical Terms: Definitions of medical terms used in the document in plain language

6. Appendix 2 - Emergency Contact Information: Detailed emergency contact information and their authorization levels