1. Special Medical Conditions: Section for listing specific medical conditions that require special attention or consideration

2. Religious or Cultural Preferences: Specific religious or cultural considerations that should be respected in medical treatment

3. Organ Donation Authorization: Specific instructions regarding organ donation preferences

4. Insurance Information: Details of medical insurance coverage and billing preferences

5. Specific Treatments Excluded: List of medical procedures or treatments specifically not authorized

6. Alternative Representatives: Secondary or tertiary representatives if primary representative is unavailable

7. Digital Communication Consent: Authorization for receiving medical information through electronic means

1. Schedule A - Glossary of Medical Terms: Definitions of medical and legal terms used in the authorization form

2. Schedule B - List of Authorized Procedures: Detailed list of specific medical procedures covered by the authorization

3. Schedule C - Hospital Policies: Reference to relevant hospital policies and procedures

4. Appendix 1 - Identification Documents: Copies of CNIC and other identification documents of patient and representatives

5. Appendix 2 - Witness Requirements: Detailed requirements for witness signatures and their verification

6. Appendix 3 - Emergency Protocols: Procedures to be followed in emergency situations