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1. Religious or Cultural Preferences: Special instructions regarding medical treatment based on religious or cultural beliefs, included when relevant to the family's beliefs

2. Insurance Information: Additional private health insurance details, included when the child has coverage beyond provincial health insurance

3. Travel Authorization: Permission for the temporary caregiver to travel with the minor for medical treatment, included when there's a possibility of needing treatment in another jurisdiction

4. Prohibited Treatments: Specific treatments or procedures that parents do not authorize, included when parents want to restrict certain medical decisions

5. Primary Care Provider Information: Details of the child's regular healthcare providers, included when maintaining continuity of care is important

1. Schedule A - Medical History: Detailed medical history including past surgeries, hospitalizations, and ongoing conditions

2. Schedule B - Medication List: Current medications, dosages, and administration schedules

3. Schedule C - Healthcare Provider Contact List: Complete list of child's healthcare providers including specialists, dentist, and other medical professionals

4. Schedule D - Insurance Documentation: Copies of health insurance cards and relevant insurance policy information

5. Appendix 1 - Parent/Guardian Travel Information: Detailed itinerary of parents/guardians including accommodation and contact details while away