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

2. Special Medical Conditions: Additional section for documenting any special medical conditions that may affect treatment

3. Religious or Cultural Considerations: Specific provisions related to religious or cultural requirements affecting treatment

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

5. Photography/Videography Consent: Required when visual documentation of the treatment is needed

6. Blood Transfusion Specific Consent: Required for procedures that may require blood transfusion

7. Student/Trainee Involvement: Required when medical students or trainees may be involved in care

8. Telemedicine Provisions: Required for treatments involving remote healthcare services

1. Schedule A - Detailed Treatment Plan: Comprehensive description of the proposed treatment protocol and timeline

2. Schedule B - Risk Disclosure: Detailed list of all potential risks and complications specific to the treatment

3. Schedule C - Cost Estimate: Detailed breakdown of expected costs and payment terms

4. Schedule D - Patient Information Sheet: Detailed patient medical history and relevant health information

5. Schedule E - Post-Treatment Care Instructions: Detailed instructions for post-treatment care and follow-up

6. Appendix 1 - Medical Terms Glossary: Definitions of medical terms used in layperson's language

7. Appendix 2 - Emergency Contact Information: List of emergency contacts and their authorization levels