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1. Religious or Cultural Considerations: Specific religious or cultural preferences affecting medical treatment, used when patient indicates specific beliefs or practices

2. Advance Care Directives: Reference to any existing advance care directives, included when patient has such directives in place

3. Organ Donation Preferences: Patient's wishes regarding organ donation in case of death, included when patient wants to specify these preferences

4. Insurance Information: Details of health insurance coverage, included when relevant to payment for emergency treatment

5. Specific Treatment Exclusions: Any specific treatments the patient does not consent to, included when patient has specific exclusions

6. Interstate/International Considerations: Additional provisions for treatment while traveling, included for patients who frequently travel

1. Schedule A - Medical History Detail: Detailed medical history form including past surgeries, conditions, and treatments

2. Schedule B - Current Medication List: Comprehensive list of current medications, dosages, and prescribing doctors

3. Schedule C - Allergy and Adverse Reaction Record: Detailed list of known allergies and previous adverse reactions to medications

4. Appendix 1 - Emergency Contact Details: Extended contact information including relationship, languages spoken, and best contact times

5. Appendix 2 - Healthcare Provider Network: List of patient's regular healthcare providers and specialists