1. Specific Medical Conditions: Detailed information about the patient's medical condition when relevant to the scope of authorization

2. Emergency Contact Information: Additional contacts to be notified in case of emergencies

3. Religious/Cultural Preferences: Specific religious or cultural considerations for medical treatment

4. Financial Authorization: Authorization for handling medical expenses and insurance matters

5. Revocation Clause: Terms and conditions for revoking the authorization

6. Language Declaration: Required when the document is prepared in multiple languages or when parties speak different languages

1. Copy of Authorizing Party's ID: Authenticated copy of the sick person's national ID or passport

2. Copy of Representative's ID: Authenticated copy of the authorized representative's national ID or passport

3. Medical Condition Certificate: Recent medical report or certificate describing the patient's condition

4. Witness Statements: Signed statements from witnesses confirming the authorization

5. Family Card Copy: Copy of family card if the representative is a family member