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1. Parties: Identification of the person giving authorization (the Principal), the person receiving authorization (the Agent), and verification of their legal capacity
2. Background: Context for the authorization, including the relationship between parties and reason for granting medical decision-making authority
3. Definitions: Clear definitions of medical terms, types of treatments, and key concepts used in the document
4. Scope of Authority: Specific medical decisions and treatments the Agent is authorized to approve or decline on behalf of the Principal
5. Duration of Authority: Time period for which the authorization remains valid, including start date and any expiration conditions
6. Agent's Duties and Responsibilities: Obligations of the Agent in making medical decisions, including duty to act in Principal's best interests
7. Healthcare Provider Rights and Obligations: Rights and responsibilities of medical professionals in accepting and acting upon this authorization
8. Revocation Clause: Process and conditions under which the Principal can revoke the authorization
9. Governing Law: Specification that the document is governed by Hong Kong law
10. Execution: Signature requirements, witnessing provisions, and execution date
1. Alternate Agent Designation: Appointment of backup agents if the primary Agent is unavailable - recommended for longer-term authorizations
2. Specific Medical Conditions: Detailed instructions for known medical conditions or anticipated treatments - include when Principal has specific health concerns
3. Religious or Cultural Preferences: Specific instructions regarding treatments that may conflict with religious or cultural beliefs - include when relevant to Principal's background
4. Organ Donation Instructions: Specific wishes regarding organ donation - include when Principal wants to address this issue
5. End-of-Life Decisions: Specific instructions regarding life-sustaining treatments - include when Principal wants to address these scenarios
6. Pregnancy Provisions: Special instructions if Principal is or becomes pregnant - include for female Principals of childbearing age
1. Schedule 1: Medical History: Summary of Principal's relevant medical history, current conditions, and medications
2. Schedule 2: Prohibited Treatments: List of specific medical treatments or procedures that the Agent is not authorized to approve
3. Schedule 3: Emergency Contacts: List of additional persons to be contacted in medical emergencies
4. Appendix A: Capacity Assessment: Medical practitioner's certification of Principal's mental capacity at time of execution
5. Appendix B: Witness Statements: Formal statements from witnesses confirming proper execution of the document
Alternate Agent
Capacity
Emergency Care
Healthcare Provider
Hospital
Incapacity
Life-Sustaining Treatment
Medical Treatment
Mental Capacity
Principal
Private Hospital
Public Hospital
Registered Medical Practitioner
Routine Care
Treatment Decision
Terminal Condition
Witness
Healthcare Facility
Medical Record
Personal Care
Palliative Care
Medical Procedure
Diagnostic Test
Authorized Representative
Effective Date
Revocation
Hospital Authority
Medical Council
Mental Health Professional
Scope of Powers
Duration
Agent Powers
Agent Duties
Healthcare Provider Rights
Emergency Powers
Consent Requirements
Privacy and Confidentiality
Medical Records Access
Liability and Indemnification
Revocation Rights
Governing Law
Execution Requirements
Witness Requirements
Succession of Agents
Religious Preferences
Treatment Restrictions
Information Disclosure
Decision-Making Process
Capacity Determination
Emergency Contacts
Treatment Preferences
End-of-Life Decisions
Organ Donation
Severability
Amendment Procedures
Termination Rights
Dispute Resolution
Notice Requirements
Healthcare
Medical Services
Insurance
Legal Services
Employee Benefits
Human Resources
Corporate Compliance
Healthcare Administration
Elder Care Services
Medical Tourism
Legal
Human Resources
Compliance
Risk Management
Employee Benefits
Healthcare Administration
Insurance
Patient Services
Corporate Governance
International Relations
Medical Director
Hospital Administrator
Legal Counsel
HR Manager
Benefits Coordinator
Compliance Officer
Risk Manager
Healthcare Administrator
Employee Relations Manager
Medical Tourism Coordinator
Insurance Claims Manager
Patient Services Director
Corporate Secretary
General Counsel
Healthcare Compliance Officer
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