1. Religious or Cultural Preferences: Specific religious or cultural considerations that should be respected during emergency treatment

2. Organ Donation Preferences: Patient's wishes regarding organ donation in case of fatal emergencies

3. Special Instructions for Minors: Additional provisions when the patient is a minor, including parental consent requirements

4. Mental Health Considerations: Special provisions for patients with mental health conditions that may affect decision-making capacity

5. Advanced Directives Reference: Reference to any existing advanced directives or living will documents

6. Language Assistance Requirements: Specifications for language interpretation needs in emergency situations

1. Schedule A: Detailed Medical History: Comprehensive medical history including past surgeries, chronic conditions, and family history

2. Schedule B: Current Medication List: Detailed list of current medications, dosages, and prescribing physicians

3. Schedule C: Insurance Information: Details of medical insurance coverage, policy numbers, and contact information

4. Appendix 1: Emergency Treatment Facility List: List of preferred or nearby emergency treatment facilities and their contact information

5. Appendix 2: Medical Power of Attorney: Copy of any existing Medical Power of Attorney documentation