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Health Waiver

Health Waiver Template for Indonesia

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Key Requirements PROMPT example:

Health Waiver

"I need a Health Waiver for my new medical tourism facility in Jakarta, Indonesia, which will open in March 2025, covering both standard medical procedures and alternative wellness treatments, with specific provisions for international patients who don't speak Indonesian."

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Document background
The Health Waiver is a crucial legal document used in Indonesian healthcare settings to establish clear understanding and agreement between healthcare providers and patients/participants regarding medical procedures, treatments, or health-related activities. This document is essential when there are inherent risks in medical procedures, physical activities, or health-related services. It must comply with Indonesian health regulations, including Law No. 36 of 2009 on Health and Minister of Health regulations on informed consent. The waiver typically includes comprehensive risk disclosures, medical history declarations, and emergency provisions, while being structured to protect both the healthcare provider and the patient's rights under Indonesian law. It's particularly important in situations involving elective procedures, experimental treatments, or activities with potential health risks.
Suggested Sections

1. Parties: Identification of the individual signing the waiver and the healthcare provider/facility

2. Background: Context of the waiver, including the general purpose and scope of medical activities covered

3. Definitions: Key terms used in the waiver, including medical terminology and legal concepts

4. Acknowledgment of Risks: Detailed acknowledgment of potential risks and complications associated with the medical procedure or activity

5. Voluntary Participation: Declaration that participation is voluntary and the participant is of legal age and sound mind

6. Release of Liability: Specific terms of the liability release, including what is and isn't covered

7. Medical History Declaration: Participant's confirmation of accurate disclosure of relevant medical history

8. Emergency Authorization: Authorization for emergency medical treatment if needed

9. Governing Law: Specification that Indonesian law governs the waiver

10. Execution: Signature blocks, witness requirements, and date of execution

Optional Sections

1. Specific Medical Conditions: Additional section for participants with pre-existing conditions requiring special consideration

2. Photography and Media Release: Optional consent for medical photography or documentation, if relevant

3. Insurance Declaration: Section regarding participant's insurance coverage and understanding of coverage limitations

4. Language Declaration: For non-Indonesian speakers, confirmation that the document has been explained in a language they understand

5. Covid-19 Specific Provisions: Additional provisions related to Covid-19 risks and protocols, if still relevant

6. Third Party Authorization: For cases where a guardian or authorized representative is signing on behalf of the participant

Suggested Schedules

1. Schedule A - Specific Risks: Detailed list of specific risks associated with the particular medical procedure or activity

2. Schedule B - Medical History Form: Standard form for declaring relevant medical history and current conditions

3. Schedule C - Emergency Contact Information: Detailed emergency contact information and preferred hospital/doctor information

4. Appendix 1 - Informed Consent Details: Detailed explanation of the procedure/activity in lay terms

5. Appendix 2 - Facility Rules and Protocols: Specific rules and protocols that must be followed during the medical procedure or activity

Authors

Alex Denne

Head of Growth (Open Source Law) @ tiktok成人版 | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

alex.den.21@genieai.co
Relevant legal definitions






























Clauses

























Relevant Industries

Healthcare

Sports and Recreation

Education

Wellness and Fitness

Medical Tourism

Clinical Research

Alternative Medicine

Pharmaceutical

Medical Device

Occupational Health

Emergency Services

Relevant Teams

Legal

Compliance

Risk Management

Patient Relations

Clinical Operations

Administrative Services

Medical Records

Quality Assurance

Emergency Services

Research and Development

Relevant Roles

Medical Director

Legal Counsel

Risk Manager

Healthcare Administrator

Clinical Director

Compliance Officer

Patient Relations Manager

Medical Practitioner

Research Coordinator

Sports Facility Manager

Wellness Center Director

Physical Therapist

Clinical Research Director

Medical Tourism Coordinator

Industries






Teams

Employer, Employee, Start Date, Job Title, Department, Location, Probationary Period, Notice Period, Salary, Overtime, Vacation Pay, Statutory Holidays, Benefits, Bonus, Expenses, Working Hours, Rest Breaks, 聽Leaves of Absence, Confidentiality, Intellectual Property, Non-Solicitation, Non-Competition, Code of Conduct, Termination, 聽Severance Pay, Governing Law, Entire Agreemen

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