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1. Religious or Cultural Preferences: Specific religious or cultural considerations that should be taken into account during medical treatment

2. Organ Donation Preferences: Specific instructions regarding organ donation if applicable

3. Insurance Information: Details of medical insurance coverage and policy numbers

4. Specific Treatment Restrictions: Any specific treatments or procedures that are explicitly not authorized

5. Alternative Authorized Parties: Secondary or tertiary individuals authorized to make decisions if primary cannot be reached

6. Digital Communication Consent: Authorization for receiving medical information through electronic means

7. Language Preference: Preferred language for medical communication and need for interpreters

1. Appendix A - Identity Documents: Copies of government-issued ID of grantor and authorized party

2. Appendix B - Medical History: Detailed medical history including past surgeries, conditions, and treatments

3. Appendix C - Current Medications: List of current medications, dosages, and prescribing physicians

4. Appendix D - Insurance Cards: Copies of current insurance cards and relevant policy documents

5. Appendix E - Advance Directive: Copy of any existing advance directive or living will if applicable