1. Specific Treatment Authorization: Detailed authorization for specific medical procedures or treatments, used when authorization is for particular medical circumstances

2. Emergency Contact Information: Additional emergency contacts besides the authorized party, used when multiple contacts need to be listed

3. Medical History Summary: Brief relevant medical history, used when specific medical conditions need to be highlighted

4. Revocation Clause: Specific terms for revoking the authorization, used when the authorizing party wants to specify conditions for cancellation

5. Religious or Cultural Preferences: Specific religious or cultural considerations for medical treatment, used when these factors influence medical decisions

1. Medical History Record: Detailed medical history of the patient including allergies, current medications, and chronic conditions

2. Healthcare Provider List: List of current healthcare providers and medical facilities where the authorization is to be used

3. Specific Instructions: Detailed instructions for specific medical scenarios or treatments

4. Insurance Information: Details of medical insurance coverage and policy information