Patient Intake Form Template for Austria

1. Language Preference: For facilities in multilingual areas or those serving international patients, section for preferred language and need for interpreter

2. Research Participation: Optional consent for participation in medical research or clinical trials, used by research hospitals or academic medical centers

3. Religious/Cultural Preferences: For facilities wanting to accommodate specific religious or cultural needs affecting medical care

4. Electronic Communication Consent: Optional agreement for receiving communications via email or patient portal, including risks and limitations

5. Advance Directives: For adult patients to indicate existence of living will or healthcare proxy

6. Photography Consent: Optional permission for medical photography for treatment documentation or educational purposes

1. Privacy Policy: Detailed explanation of the facility's privacy practices and patient rights regarding their medical information

2. Patient Rights and Responsibilities: Comprehensive list of patient rights and responsibilities under Austrian healthcare laws

3. Fee Schedule: List of common procedures and associated costs, particularly relevant for private practices

4. Insurance Networks: List of insurance providers and networks accepted by the facility

5. Facility Policies: Important facility policies including appointment cancellation, emergency procedures, and after-hours care