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1. Specific Treatment Restrictions: Used when certain treatments or procedures are explicitly excluded from the authorization

2. Religious or Cultural Preferences: Include when specific religious or cultural considerations should be taken into account in medical treatment

3. Insurance Information: Added when insurance details need to be included as part of the authorization

4. Secondary Authorization: Used when naming a backup person who can make decisions if the primary authorizer is unavailable

5. Digital Communication Consent: Include when authorizing communication of medical information through specific digital channels

6. Language Preference: Added when the patient or authorizing party requires communication in a specific language

1. Copy of Authorizing Party's ID: Certified copy of government-issued identification of the person giving authorization

2. Proof of Relationship: Documentation proving the relationship between the authorizing party and the patient (e.g., birth certificate, court order)

3. Existing Medical Power of Attorney: If applicable, copy of any existing medical power of attorney or related legal documents

4. Patient's Medical History Summary: Brief summary of relevant medical history, allergies, and current medications

5. Insurance Documentation: Copies of relevant insurance cards and policy information