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1. Parties: Identification of the healthcare provider/facility and the patient, including full legal names and relevant identification details
2. Background: Brief context about the medical procedure or service being provided and the purpose of the waiver
3. Definitions: Clear definitions of key terms used in the document, including medical terminology and legal concepts
4. Acknowledgment of Risks: Detailed description of potential risks and complications associated with the medical procedure or service
5. Scope of Waiver: Clear outline of what liability is being waived and what remains covered
6. Patient Declarations: Statements confirming the patient's understanding of risks and voluntary agreement
7. Healthcare Provider Obligations: Statement of continuing obligations and standard of care to be provided
8. Privacy and Data Protection: Provisions regarding the handling and protection of patient's medical information
9. Governing Law: Specification that Hong Kong law governs the waiver
10. Execution: Signature blocks for all parties, including witness provisions
1. Emergency Contact Authorization: Section authorizing emergency contacts to make decisions, used when patient requests this option
2. Language Declaration: Statement confirming that the form has been explained in a language the patient understands, used for non-English/Chinese speaking patients
3. Insurance and Payment: Details about insurance coverage and payment responsibilities, used when payment terms need to be included
4. Additional Services: Description of any additional or optional services being offered, used when supplementary procedures might be necessary
5. Photographic Consent: Authorization for medical photography, used when procedures may require documentary photographs
6. Research Participation: Consent for use of medical data in research, used in teaching hospitals or research institutions
1. Schedule 1 - Detailed Procedure Description: Comprehensive description of the medical procedure or service being provided
2. Schedule 2 - Risk Disclosure: Detailed list of specific risks and potential complications
3. Schedule 3 - Patient Medical History: Patient's relevant medical history and current health status
4. Appendix A - Information Sheet: Educational material about the procedure provided to the patient
5. Appendix B - Post-Procedure Care Instructions: Detailed instructions for after-care and follow-up
6. Appendix C - Emergency Contact Form: Form for recording emergency contact information
Patient
Medical Procedure
Treatment
Medical Services
Consent
Informed Consent
Medical Records
Personal Data
Confidential Information
Emergency
Medical Emergency
Standard of Care
Negligence
Gross Negligence
Liability
Waiver
Risk
Complications
Side Effects
Healthcare Facility
Medical Staff
Personal Representative
Guardian
Next of Kin
Witness
Force Majeure
Governing Law
Healthcare Records
Treatment Plan
Authorized Representative
Confidentiality
Privacy
Material Risk
Professional Services
Medical Institution
Reasonable Care
Medical Emergency
Discharge
Follow-up Care
Liability Waiver
Medical Consent
Data Protection
Confidentiality
Emergency Procedures
Indemnification
Force Majeure
Patient Rights
Standard of Care
Termination
Governing Law
Dispute Resolution
Severability
Entire Agreement
Amendment
Assignment
Notice
Privacy
Insurance
Medical Records
Witness Requirements
Language Declaration
Patient Declarations
Healthcare Provider Obligations
Payment Terms
Emergency Contact Authorization
Capacity to Contract
Healthcare
Medical Services
Hospitals
Clinics
Pharmaceutical
Medical Insurance
Elder Care
Sports Medicine
Cosmetic Surgery
Dental Services
Alternative Medicine
Medical Research
Rehabilitation Services
Legal
Compliance
Risk Management
Patient Services
Clinical Operations
Quality Assurance
Medical Records
Administrative Services
Insurance Coordination
Privacy and Data Protection
Clinical Governance
Patient Relations
Medical Director
Hospital Administrator
Clinical Risk Manager
Legal Counsel
Compliance Officer
Medical Practitioner
Nurse Manager
Patient Services Coordinator
Healthcare Facility Manager
Quality Assurance Manager
Medical Records Manager
Insurance Coordinator
Privacy Officer
Clinical Department Head
Administrative Director
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