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1. Interpreter Declaration: Required when parents/guardians are not fluent in the language of the consent form

2. Religious or Cultural Considerations: Specific provisions related to religious or cultural requirements affecting medical care

3. Photography Consent: Permission for medical photography or recording for treatment documentation or educational purposes

4. Research Participation: Optional consent for participation in medical research or clinical trials

5. Blood Product Authorization: Specific consent for blood transfusions or blood product administration

6. Remote Consent Provisions: Procedures for providing consent via telephone or electronic means in specific situations

1. Schedule A - Detailed Medical Procedure Description: Technical details of the medical procedure or treatment plan

2. Schedule B - Risk Disclosure Form: Comprehensive list of specific risks and potential complications

3. Schedule C - Patient Rights and Responsibilities: Detailed outline of patient and guardian rights and responsibilities

4. Appendix 1 - Emergency Contact Information: List of emergency contacts and their authorization levels

5. Appendix 2 - Medical History Form: Relevant medical history of the minor patient

6. Appendix 3 - Medication List: Current medications and known allergies of the minor patient