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1. Parties: Identification of the healthcare provider and patient, including full legal names and contact details
2. Background: Brief context about the medical procedure or treatment being undertaken and purpose of the waiver
3. Definitions: Clear explanations of medical and legal terms used throughout the document
4. Acknowledgment of Risks: Detailed outline of potential risks and complications associated with the treatment or procedure
5. Patient Declarations: Statements confirming the patient's understanding of risks and voluntary consent
6. Scope of Waiver: Clear definition of what liability is being waived and what cannot be waived under NZ law
7. ACC Coverage Statement: Information about New Zealand's Accident Compensation scheme and its applicability
8. Patient Rights: Statement of retained rights under the Code of Health and Disability Services Consumers' Rights
9. Emergency Authorization: Consent for emergency medical intervention if required during the procedure
10. Execution: Signature blocks for all parties, including witness requirements
1. Interpreter Declaration: Required when the patient's primary language is not English, including interpreter certification
2. Guardian Consent: Required for patients under 16 or those lacking capacity to provide informed consent
3. Photography Consent: For procedures where before/after photography or video recording may be needed
4. Clinical Trial Provisions: Required for experimental procedures or clinical trials
5. Alternative Treatment Options: Detailed when multiple treatment options are available
6. Insurance Details: Required when private insurance is involved in covering the procedure
1. Schedule 1 - Procedure Details: Detailed description of the specific medical procedure or treatment
2. Schedule 2 - Risk Disclosure: Comprehensive list of specific risks and potential complications
3. Schedule 3 - Pre and Post Procedure Instructions: Detailed instructions for patient preparation and aftercare
4. Appendix A - Patient Medical History Form: Standard medical history questionnaire
5. Appendix B - Information Brochures: Educational materials about the procedure or treatment
Adverse Event
Aftercare
Authorized Representative
Clinical Trial
Complications
Consent
Emergency Medical Treatment
Experimental Procedure
Healthcare Provider
Informed Consent
Legal Guardian
Medical Procedure
Medical Records
Minor
Next of Kin
Patient
Personal Information
Pre-existing Condition
Procedure
Reasonable Care
Side Effects
Standard of Care
Treatment
Treatment Plan
Urgent Medical Care
Waiver
Risk Disclosure
Liability Limitation
Patient Rights
Medical Information
Confidentiality
Emergency Authorization
ACC Coverage
Treatment Description
Patient Acknowledgment
Medical Records
Privacy
Termination Rights
Alternative Treatment
Financial Responsibility
Force Majeure
Governing Law
Severability
Witness Requirements
Amendment
Entire Agreement
Healthcare
Medical Services
Dental Services
Allied Health
Alternative Medicine
Clinical Research
Sports Medicine
Rehabilitation Services
Cosmetic Surgery
Mental Health Services
Legal
Compliance
Risk Management
Clinical Operations
Patient Services
Quality Assurance
Medical Administration
Clinical Research
Healthcare Operations
Medical Records
Medical Director
Healthcare Administrator
Clinical Practice Manager
Legal Counsel
Compliance Officer
Risk Management Officer
Medical Practitioner
Surgeon
Dentist
Physiotherapist
Clinical Research Coordinator
Practice Owner
Chief Medical Officer
Quality Assurance Manager
Patient Services Manager
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