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1. Date and Location: Current date and place where the letter is being written/signed
2. Consenting Party Information: Full legal name, address, and relationship to the subject of consent
3. Subject Information: Full details of the person(s) for whom consent is being given, including full legal name, date of birth, and any relevant identification numbers
4. Purpose of Consent: Clear statement of what activities or decisions are being consented to
5. Scope of Authorization: Specific details of what is being authorized, including any limitations or restrictions
6. Duration: Time period for which the consent is valid
7. Emergency Contact Information: Contact details for reaching the consenting party and alternative contacts
8. Declaration and Signature: Formal statement of consent and signature block with witness provisions
1. Medical Information: Include when consent involves medical care, listing relevant medical conditions, allergies, and medications
2. Travel Details: Add when consent is for travel, including destination, dates, and accommodation details
3. Special Instructions: Any specific care instructions or requirements that need to be followed
4. Revocation Clause: Information about how and when the consent can be revoked
5. Alternative Decision Makers: Names and contact information for other authorized decision makers if primary consenting party cannot be reached
1. Identification Documents: Copies of government-issued ID for all parties involved
2. Supporting Legal Documents: Any relevant court orders, custody agreements, or other legal documents that establish authority to give consent
3. Medical Records: Relevant medical information or history when consent involves medical care
4. Travel Itinerary: Detailed travel plans when consent is for travel purposes
5. Witness Attestation Form: Separate form for witness signatures and details
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