1. Specific Treatment Exclusions: Section to list any specific treatments or procedures that are explicitly not consented to, used when parents have specific religious or personal objections

2. Additional Authorized Representatives: Section to designate other adults who may authorize medical treatment, useful for families where other family members may need to accompany the minor

3. Religious or Cultural Considerations: Special instructions regarding religious or cultural preferences affecting medical treatment

4. Translation Declaration: Statement confirming that the form has been explained in the parent's/guardian's preferred language, used when dealing with non-Arabic/non-English speaking guardians

5. Medical History Summary: Brief medical history section including allergies and current medications, useful for ongoing or complex medical situations

1. Schedule A - Specific Procedures Consent: Detailed list of specific procedures or treatments being consented to, with associated risks and benefits

2. Schedule B - Emergency Contacts: List of emergency contacts and their contact details in order of priority

3. Appendix 1 - Medical History Form: Optional detailed medical history form including allergies, previous surgeries, and current medications

4. Appendix 2 - Insurance Information: Detailed insurance information and coverage details

5. Appendix 3 - Arabic Translation: Full Arabic translation of the consent form as required by Qatari law