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1. Parties: Identification of the healthcare provider/facility and the patient (including registration numbers for providers and IC/passport numbers for patients)
2. Background: Brief context about the medical treatment or procedure necessitating the waiver
3. Definitions: Clear definitions of medical terms, types of liability being waived, and other key terms used in the document
4. Acknowledgment of Risks: Detailed description of potential risks and complications associated with the medical procedure or treatment
5. Voluntary Assumption of Risk: Patient's explicit acknowledgment of understanding and voluntarily accepting the risks
6. Scope of Waiver: Specific details of what liability is being waived and what isn't (excluding gross negligence and willful misconduct)
7. Emergency Authorization: Permission for emergency medical intervention if required during the procedure
8. Declaration of Medical History: Patient's confirmation of providing accurate medical history and disclosure of relevant conditions
9. Governing Law: Specification that the waiver is governed by Malaysian law
10. Execution: Signature blocks for all parties, including witness requirements
1. Interpreter Declaration: Required when the patient's primary language isn't English or Bahasa Malaysia, confirming that the document has been properly translated
2. Guardian Consent: Required for minors or individuals lacking legal capacity to consent
3. Photography Consent: Optional section for procedures where medical photography might be needed for documentation or teaching purposes
4. Medical Research Participation: Required if the procedure involves any research components or data collection for studies
5. Insurance Declaration: Optional section regarding insurance coverage and payment responsibilities
6. Specific Procedure Risks: Additional detailed risks section for specific high-risk procedures
7. Religious or Cultural Considerations: Special provisions based on patient's religious or cultural requirements
1. Schedule A - Procedure Details: Detailed description of the medical procedure or treatment being undertaken
2. Schedule B - Risk Disclosure: Comprehensive list of potential risks, complications, and side effects
3. Schedule C - Patient Medical History Form: Detailed medical history questionnaire completed by the patient
4. Schedule D - Post-Procedure Care Instructions: Detailed instructions for post-procedure care and recovery
5. Appendix 1 - Emergency Contacts: List of emergency contacts and next of kin
6. Appendix 2 - Facility Policies: Relevant hospital or clinic policies that apply to the procedure
Medical Facility
Patient
Medical Procedure
Treatment
Medical Practitioner
Identity Card
Medical Records
Liability
Emergency Medical Care
Informed Consent
Legal Guardian
Medical Emergency
Next of Kin
Professional Services
Side Effects
Complications
Witness
Governing Law
Confidential Information
Personal Data
Medical Condition
Healthcare Services
Negligence
Gross Negligence
Willful Misconduct
Standard of Care
Consent Form
Medical History
Risk Disclosure
Treatment Plan
Follow-up Care
Emergency Contact
Medical Equipment
Healthcare Facility License
Registration Number
Medical Council
Treatment Protocol
Adverse Reaction
Medical Emergency
Consultation
Assumption of Risk
Medical Consent
Liability Release
Emergency Authorization
Medical History Disclosure
Confidentiality
Data Protection
Insurance
Indemnification
Force Majeure
Governing Law
Severability
Entire Agreement
Amendment
Medical Records Access
Payment Obligations
Patient Rights
Standard of Care
Emergency Procedures
Termination
Witness Requirements
Capacity to Contract
Privacy
Assignment
Healthcare
Medical Services
Hospitals
Private Clinics
Dental Practices
Alternative Medicine
Sports Medicine
Rehabilitation Services
Cosmetic Surgery
Medical Research
Medical Education
Legal
Compliance
Risk Management
Medical Administration
Patient Services
Clinical Operations
Quality Assurance
Medical Records
Research and Development
Patient Safety
Clinical Governance
Medical Director
Hospital Administrator
Clinical Director
Legal Counsel
Compliance Officer
Risk Manager
Medical Practitioner
Surgeon
Specialist Physician
General Practitioner
Nurse Manager
Practice Manager
Medical Research Director
Clinical Trial Coordinator
Patient Services Manager
Healthcare Facility Manager
Medical Records Officer
Quality Assurance Manager
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