1. Image and Visual Materials Consent: Additional consent specifically for photographs, videos, or other visual materials - include when visual materials are part of the publication

2. Translation Declaration: Section confirming that the document has been accurately translated - include when the patient's primary language is not English

3. Secondary Use Permission: Permission for reuse of the published information in related materials - include when there's potential for information to be used in multiple publications or formats

4. Family/Genetic Information: Additional provisions for when the case involves genetic information that could affect family members

5. Digital/Online Publication Specifics: Special provisions for online publication and digital sharing - include when publication will be primarily online

6. Research Database Inclusion: Consent for inclusion in research databases or repositories - include when data will be stored in databases for future research

1. Schedule 1 - Specific Information for Publication: Detailed list of exact information, images, or data to be published

2. Schedule 2 - Publication Venues: List of specific journals, platforms, or media where the information may be published

3. Schedule 3 - Privacy Protection Protocol: Detailed protocol for de-identification and privacy protection measures

4. Appendix A - Image/Visual Material Index: Catalogue of all visual materials covered by the consent, with copies attached

5. Appendix B - Glossary of Medical Terms: Plain language explanations of medical terms used in the case description

6. Appendix C - Patient Rights Summary: Simple summary of patient rights and privacy protections in plain language