1. Minor's Assent: Required for minors aged 12-15, who must provide their own assent alongside parental consent

2. Additional Medical Contacts: Space for listing other healthcare providers or specialists involved in the minor's care

3. Special Medical Conditions: Section for documenting specific medical conditions, allergies, or other health concerns

4. Religious or Cultural Considerations: Special instructions based on religious or cultural preferences affecting medical treatment

5. Temporary Guardian Authorization: Used when temporary guardians need authorization for medical decisions

6. Information Sharing Authorization: Specific permissions for sharing medical information with other parties or institutions

1. Schedule A - Medical History Form: Detailed medical history of the minor including past procedures, allergies, and ongoing conditions

2. Schedule B - Emergency Contacts: List of emergency contacts and their authorization levels

3. Schedule C - Specific Treatments Consent: Detailed consent for specific recurring treatments or procedures

4. Appendix 1 - Information Sheet: Patient information sheet explaining rights and responsibilities under Dutch healthcare law

5. Appendix 2 - Privacy Notice: GDPR-compliant privacy notice explaining how medical information will be handled