1. Security: Include if any assets are being used as security for the debt

2. Guarantor: Include if a third party is guaranteeing the debt

3. Late Payment Fees: Include if specific penalties apply for late payments

4. Early Payment Provisions: Include if early payment discounts or terms are offered

5. Insurance Claims: Include if there are pending insurance claims that may affect payment

6. Dispute Resolution: Include if specific dispute resolution procedures are required

1. Schedule A - Payment Schedule: Detailed breakdown of payment installments, dates, and amounts

2. Schedule B - Original Hospital Bill: Copy or summary of the original hospital bill being subject to the note

3. Appendix 1 - Payment Methods: Detailed information about accepted payment methods and procedures

4. Appendix 2 - Privacy Notice: Required privacy notices regarding handling of medical information