1. Special Medical Conditions: Additional section for patients with specific medical conditions that may affect treatment or increase risks

2. Language Interpretation: Section confirming that the document has been explained in another language, if applicable

3. Photography Consent: Optional authorization for medical photography or recording for treatment documentation

4. Research Participation: Optional consent for use of medical information in research studies

5. Alternative Treatments: Section acknowledging that alternative treatment options have been discussed and considered

6. Insurance Coverage Declaration: Section addressing private insurance coverage and payment responsibilities

7. Telehealth Provisions: Additional terms specific to virtual healthcare services when applicable

1. Schedule A - Specific Risks: Detailed list of specific risks associated with particular procedures or treatments

2. Schedule B - Patient Rights: Comprehensive outline of patient rights that remain protected despite the waiver

3. Schedule C - Emergency Contacts: List of emergency contacts and their authorization levels

4. Appendix 1 - Glossary of Medical Terms: Detailed explanations of medical terminology used in the document

5. Appendix 2 - Facility Policies: Reference to relevant facility policies and procedures

6. Appendix 3 - Privacy Policy: Detailed privacy policy and information handling procedures