1. Language Declaration: Statement confirming the patient understands the language of the waiver, used when the patient's first language is not the language of the document

2. Specific Procedure Risks: Detailed risks for specific procedures, used when the waiver relates to particular high-risk treatments

3. Photography Consent: Permission for medical photography, used when procedures may require before/after documentation

4. Medical Device Acknowledgment: Specific waiver for medical devices or implants, used when treatment involves medical devices

5. Research Participation: Consent for use of treatment data in research, used when the procedure may contribute to medical research

6. Insurance Declaration: Acknowledgment of insurance coverage limitations, used when treatment may not be covered by insurance

7. Translator Certification: Certification by translator if document was explained in another language, used when translation services are provided

1. Schedule A - Procedure Details: Detailed description of the medical procedure or treatment

2. Schedule B - Known Risks and Complications: Comprehensive list of potential risks and complications associated with the treatment

3. Schedule C - Pre and Post Procedure Instructions: Detailed instructions for before and after the procedure

4. Appendix 1 - Patient Information Form: Standard form collecting patient's medical history and current conditions

5. Appendix 2 - Witness Declaration: Form for witness details and signature if required

6. Appendix 3 - Glossary of Medical Terms: Definitions of medical terminology used in the document in plain language