1. Alternative Decision Makers: Names secondary decision-makers if the primary person is unavailable - recommended for families with multiple caregivers

2. Religious and Cultural Preferences: Detailed section on specific religious or cultural requirements affecting medical care - include when relevant to the family's beliefs

3. Mental Health Provisions: Specific provisions for mental health treatment decisions - necessary if the parent has existing mental health conditions

4. End-of-Life Care: Specific instructions regarding end-of-life care and life-sustaining treatments - recommended for advanced age or serious conditions

5. Financial Authority: Provisions regarding payment for medical treatment - include when financial decision-making is also being delegated

6. Revocation Process: Detailed process for revoking or modifying the consent - important when the parent retains periods of capacity

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

2. Schedule B - Approved Healthcare Providers: List of pre-approved healthcare providers and facilities

3. Schedule C - Prohibited Treatments: List of specific treatments or procedures that are explicitly prohibited

4. Schedule D - Emergency Contacts: Complete list of emergency contacts and their order of priority

5. Schedule E - Medication Schedule: Current medication regime and administration instructions

6. Appendix 1 - Capacity Assessment: Medical assessment confirming the parent's need for consent delegation

7. Appendix 2 - Identity Documents: Copies of identification documents for all parties

8. Appendix 3 - Religious/Cultural Certificate: If applicable, documentation of specific religious or cultural requirements