Medical Waiver Template for Indonesia

1. Translator Confirmation: Required when the patient's primary language is not Indonesian, confirming that all information has been accurately translated

2. Guardian Authorization: Required for minors or patients who lack capacity to make their own medical decisions

3. Photography Consent: Optional section for procedures where medical photography might be needed for documentation or educational purposes

4. Religious or Cultural Considerations: Special provisions accounting for specific religious or cultural requirements affecting medical care

5. Research Participation: Required when the procedure is part of a medical research study or clinical trial

1. Schedule A - Procedure Details: Detailed description of the medical procedure(s) covered by the waiver

2. Schedule B - Risk Disclosure: Comprehensive list of potential risks and complications

3. Schedule C - Alternative Treatments: Description of alternative treatment options that have been discussed

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

5. Appendix 2 - Patient Rights: Summary of patient rights under Indonesian law that are not affected by the waiver