1. Interpreter Declaration: Required when the patient's primary language is not English or Filipino, including interpreter's certification of accurate translation

2. Emergency Contact Authorization: Additional section for designated emergency contacts and their decision-making authority

3. Special Medical Conditions: Section for declaring pre-existing conditions, allergies, or specific health concerns relevant to the procedure

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

5. Photography/Recording Consent: Optional authorization for medical photography or recording for documentation or educational purposes

6. Research Participation: Additional consent for participation in medical research or clinical trials if applicable

1. Schedule A - Detailed Procedure Description: Technical medical description of the procedure including diagrams or illustrations if necessary

2. Schedule B - Risk Disclosure: Comprehensive list of potential risks, complications, and their statistical likelihood

3. Schedule C - Post-Procedure Care Instructions: Detailed instructions for post-procedure care and recovery

4. Schedule D - Cost and Financial Information: Breakdown of procedure costs, insurance coverage, and payment terms if applicable

5. Appendix 1 - Patient Rights and Responsibilities: Document outlining the patient's rights and responsibilities under Philippine healthcare laws

6. Appendix 2 - Emergency Protocol: Procedures and contacts for emergency situations during or after the medical procedure