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1. International Travel Authorization: Additional permissions for medical care during international travel, necessary if grandparents may travel abroad with the child

2. Insurance Information: Details of medical insurance coverage and payment responsibilities, important if insurance arrangements need clarification

3. Religious or Cultural Preferences: Specific instructions regarding medical care based on religious or cultural beliefs, included when relevant to the family

4. Special Care Instructions: Detailed instructions for specific medical conditions or needs, included for children with ongoing medical requirements

5. Revocation Clause: Specific terms under which the permission can be revoked before the end date, included when parents want this flexibility

1. Schedule A - Medical History: Detailed medical history of the child including past surgeries, hospitalizations, and treatments

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

3. Schedule C - Healthcare Providers: List of current healthcare providers including specialists, their contact information and roles

4. Appendix 1 - Emergency Protocol: Step-by-step instructions for various emergency scenarios

5. Appendix 2 - Required Documentation: List of documents to be carried with this permission form (e.g., insurance cards, immunization records)