1. Interpreter Declaration: Section for interpreter details and confirmation that information was accurately translated, used when patient requires language assistance

2. Emergency Contact: Space for alternative contact details, used when patient wishes to designate emergency contacts

3. Special Medical Conditions: Section for listing allergies, current medications, or specific health conditions, used for complex medical cases

4. Mental Capacity Assessment: Additional section when patient's capacity to consent needs to be documented

5. Guardian Authorization: Used when the patient is a minor or lacks capacity to provide consent

6. Religious/Cultural Considerations: Section for documenting any religious or cultural preferences affecting treatment

7. Photography Consent: Optional authorization for medical photography or recording, if relevant to treatment

1. Schedule A: Detailed Procedure Description: Technical description of medical procedures and associated risks

2. Schedule B: Fee Schedule: Breakdown of expected costs and payment terms

3. Schedule C: Patient Rights and Responsibilities: Detailed outline of patient rights under Nigerian healthcare laws

4. Appendix 1: Insurance Information: Detailed insurance coverage information and claims procedures

5. Appendix 2: Hospital Policies: Relevant hospital policies affecting patient care and treatment