1. Interpreter Declaration: Required when the patient needs language interpretation services

2. Guardian Consent: Required for minors or patients unable to provide consent themselves

3. Special Medical Conditions: Additional information for patients with specific medical conditions that may affect IV administration

4. Research Participation: Required if the IV treatment is part of a clinical trial or research study

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

6. Religious or Cultural Considerations: Special instructions or modifications based on patient's religious or cultural needs

1. Schedule A: Medication Details: Detailed information about the IV medications, including composition and dosage

2. Schedule B: Post-Procedure Care: Instructions for care after IV administration and follow-up requirements

3. Appendix 1: Medical Terms Glossary: Definitions of medical terms used in the consent form

4. Appendix 2: Emergency Contact Information: List of emergency contacts and relevant medical staff contact details