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1. Patient Information: Full details of the patient including name, NRIC, address, and contact information
2. Authorized Representative: Details of person authorized to make medical decisions, including relationship to patient
3. Scope of Authorization: Specific medical treatments and procedures being authorized
4. Duration of Authorization: Time period for which the authorization is valid
5. Emergency Contact Information: List of emergency contacts and their details
1. Specific Treatment Exclusions: List of treatments specifically not authorized, used when patient has specific preferences
2. Religious/Cultural Preferences: Specific religious or cultural considerations, included when relevant to treatment
3. Research Participation: Authorization for participation in medical research, included when applicable
4. International Treatment: Authorization for overseas treatment, included when travel is anticipated
1. Medical History: Detailed medical history including allergies and current medications
2. Insurance Information: Details of medical insurance coverage and policy numbers
3. Proof of Identity: Copies of identification documents for patient and authorized representative
4. Previous Directives: Copies of any existing medical directives or preferences
Authorized Medical Procedures
Authorized Representative
Capacity
Emergency Contact
Emergency Medical Treatment
Healthcare Institution
Healthcare Provider
Medical Condition
Medical Information
Medical Records
Medical Treatment
Patient
Personal Data
Registered Medical Practitioner
Restricted Procedures
Treatment Facility
Treatment Plan
Urgent Care
Consent
Duration and Termination
Emergency Procedures
Governing Law
Healthcare Provider Rights
Indemnification
Information Disclosure
Insurance and Payment
Medical Decision-Making
Medical Records Access
Patient Rights
Personal Data Protection
Privacy
Release of Liability
Religious/Cultural Considerations
Revocation Rights
Specific Exclusions
Substitute Decision Making
Treatment Limitations
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