1. Emergency Contact Information: Section for designating emergency contacts and their relationship to patient

2. Interpreter Declaration: To be included when consent form is explained through an interpreter

3. Religious or Cultural Preferences: Section for documenting specific religious or cultural considerations affecting treatment

4. Photography Consent: Optional consent for medical photography or recording for treatment documentation

5. Teaching Facility Declaration: For use in teaching hospitals, regarding student involvement in care

6. Blood Products Consent/Refusal: Specific section for consent or refusal of blood products and derivatives

1. Schedule A - Specific Procedures: Detailed list of common procedures covered under the general consent

2. Schedule B - Patient Rights Document: Detailed explanation of patient rights and responsibilities

3. Schedule C - Privacy Policy: Detailed privacy policy and information sharing guidelines

4. Appendix 1 - Fee Schedule: Standard fee schedule for common procedures and services

5. Appendix 2 - Facility Information: Details about the medical facility, including emergency contacts and important departments