Medical Consent Letter Template for Indonesia

1. Legal Representative Authorization: Required when consent is given by someone other than the patient (e.g., parent, guardian, or power of attorney)

2. Interpreter Declaration: Required when an interpreter is used to explain the consent to a non-Indonesian speaking patient

3. Emergency Contact Information: Optional section for listing emergency contacts and their relationship to the patient

4. Specific Procedure Attachments: Required for complex procedures requiring additional detailed information

5. Photography Consent: Optional section for consent to photograph or record the procedure for medical documentation

6. Research Participation: Required if the procedure is part of a research study or clinical trial

7. Religious or Cultural Considerations: Optional section addressing specific religious or cultural requirements affecting treatment

1. Procedure Information Sheet: Detailed medical information about the specific procedure, including preparation instructions and post-procedure care

2. Risk Assessment Form: Detailed breakdown of specific risks and their likelihood for the particular procedure

3. Medical History Form: Patient's relevant medical history, allergies, and current medications

4. Anatomical Diagrams: Visual representations of the procedure area and planned intervention when applicable