1. Interpreter Declaration: Required when the patient's primary language is not the language of the waiver document

2. Guardian Consent: Required when the patient is a minor or legally incompetent

3. Photography Consent: For procedures where photographs or videos may be taken for medical documentation

4. Medical Research Participation: When the procedure is part of a medical research study

5. Religious or Cultural Preferences: When specific religious or cultural considerations need to be documented

6. Alternative Treatments: Discussion of alternative treatments when relevant to the specific procedure

7. Post-Procedure Care: Detailed instructions and acknowledgment of post-procedure care requirements

1. Schedule A - Detailed Procedure Description: Technical description of the medical procedure including steps, methods, and equipment to be used

2. Schedule B - Risk Disclosure: Comprehensive list of all possible risks and complications with statistical information where available

3. Schedule C - Pre-Procedure Instructions: Detailed instructions for preparation before the procedure

4. Schedule D - Post-Procedure Care Protocol: Detailed instructions for post-procedure care and recovery

5. Appendix 1 - Medical History Form: Patient's relevant medical history and current medications

6. Appendix 2 - Emergency Contact Information: Detailed emergency contact information and preferred hospital choices

7. Appendix 3 - Insurance Information: Details of insurance coverage and payment arrangements