1. Alternate Decision Maker Authorization: Used when parents/guardians wish to authorize another adult to make medical decisions in their absence

2. Special Medical Conditions: Section for listing any existing medical conditions, allergies, or medications that healthcare providers should be aware of

3. Religious or Cultural Considerations: Used when there are specific religious or cultural preferences that should be considered in medical treatment

4. Interpreter Declaration: Required when the form needs to be interpreted for non-English speaking parents/guardians

5. Photography and Recording Consent: Optional authorization for medical photography or recording for treatment or teaching purposes

1. Schedule A - Specific Procedures List: Detailed list of specific medical procedures being consented to, if applicable

2. Schedule B - Medical History Form: Comprehensive medical history of the minor including vaccinations, previous procedures, and family history

3. Schedule C - Emergency Protocol: Specific instructions for emergency situations, including any pre-existing medical directives

4. Appendix 1 - Information Sheet: Detailed information about the medical procedures, risks, and aftercare in plain language

5. Appendix 2 - Contact List: Comprehensive list of all relevant medical contacts, specialists, and emergency numbers