1. Interpreter Declaration: Section for interpreter details and confirmation when consent is obtained from non-English speaking guardian

2. Photography Consent: Optional authorization for medical photography or imaging

3. Training Institution Consent: Permission for medical students/trainees to observe or participate in care if facility is a teaching institution

4. Religious/Cultural Considerations: Space to note any religious or cultural factors affecting treatment

5. Insurance Information: Details of health insurance coverage and billing preferences

6. Telemedicine Consent: Additional consent for virtual medical consultations when applicable

1. Schedule A: Approved Procedures List: Detailed list of specific procedures or treatments being authorized

2. Schedule B: Facility Policies: Summary of relevant hospital/clinic policies affecting minor's treatment

3. Schedule C: Emergency Protocol: Detailed procedures for emergency situations when guardian cannot be reached

4. Appendix 1: Information Sheet: Educational material about common procedures and treatments for informed decision-making

5. Appendix 2: Patient Rights: Summary of minor patient rights under Nigerian law