1. Parent/Guardian Authorization: Required when the patient is a minor or legally incapacitated, including details of the authorized decision-maker

2. Specific Treatment Consents: Additional consents for specific high-risk procedures or treatments

3. Translation Declaration: Required when the document has been explained in a language other than English or Filipino

4. Mental Health Treatment Provisions: Special provisions required for mental health treatment authorization

5. Religious or Cultural Considerations: Specific instructions regarding religious or cultural preferences affecting treatment

6. Research Participation: Optional consent for participation in medical research or clinical trials

7. Telemedicine Authorization: Specific authorization for remote medical consultations and treatment

1. Schedule A - Medical History: Detailed medical history including allergies, current medications, and pre-existing conditions

2. Schedule B - Authorized Procedures: Specific list of authorized medical procedures and treatments

3. Schedule C - Prohibited Treatments: List of specifically excluded or prohibited treatments or procedures

4. Schedule D - Emergency Protocol: Detailed protocol for emergency situations and authorized emergency treatments

5. Schedule E - Medication List: Current medications and authorized prescription medications

6. Appendix 1 - Glossary of Medical Terms: Definitions of medical terms used in the document

7. Appendix 2 - Patient Rights: Summary of patient rights under Philippine healthcare laws