Medical Liability Release Form Template for Saudi Arabia

1. Language Acknowledgment: For non-Arabic speaking patients, confirmation that the form has been explained in their preferred language

2. Religious Considerations: Special provisions regarding religious preferences and limitations in medical treatment

3. Guardian Consent: Required when the patient is a minor or legally incompetent

4. Photography and Recording Consent: Permission for medical photography or recording for documentation purposes

5. Insurance and Payment Provisions: Details about insurance coverage and payment responsibilities if relevant to the treatment

6. Specific Procedure Risks: Detailed risks specific to complex or experimental procedures

1. Schedule A: Detailed Medical Procedure Description: Technical description of the medical procedure(s) including steps, methods, and materials used

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

3. Schedule C: Patient Medical History: Relevant medical history form and current health status declaration

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

5. Appendix 1: Emergency Contact Information: List of emergency contacts and their relationship to the patient

6. Appendix 2: Healthcare Facility Credentials: Copies of relevant facility licenses and accreditations