1. Religious or Cultural Considerations: Special instructions regarding religious or cultural preferences affecting medical treatment

2. Existing Medical Conditions: List of pre-existing medical conditions that emergency personnel should be aware of

3. Current Medications: List of current medications and allergies

4. Advance Directives Reference: Reference to any existing advance directives or living will

5. Insurance Information: Details of health insurance coverage

6. Substitute Decision Maker Designation: Specific designation of substitute decision-maker if different from emergency contact

7. Treatment Preferences: Specific preferences for certain types of treatments or procedures

1. Schedule A - Medical History Summary: Brief summary of relevant medical history and conditions

2. Schedule B - Medication List: Detailed list of current medications, dosages, and known drug allergies

3. Schedule C - Emergency Contact Protocol: Detailed protocol for contacting designated emergency contacts in order of priority

4. Appendix 1 - Glossary of Medical Terms: Definitions of medical terms used in the consent form

5. Appendix 2 - Provincial Healthcare Rights: Summary of patient rights under provincial healthcare legislation