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1. Specific Treatment Authorizations: Detailed authorizations for specific procedures or treatments, used when certain procedures are already planned or anticipated

2. Mental Health Treatment Authorization: Specific authorization for mental health treatment, used when mental health care might be needed

3. Religious or Cultural Preferences: Statement of any religious or cultural preferences affecting medical treatment, used when patient has specific cultural or religious requirements

4. Medication Allergies and Restrictions: List of known allergies and medication restrictions, used when patient has specific medical contraindications

5. Alternative Medicine Preferences: Authorization or restrictions regarding alternative medicine treatments, used when patient has specific preferences about alternative treatments

6. Organ Donation Preferences: Statement about organ donation preferences, used when patient wants to specify organ donation wishes

7. Financial Responsibility: Statement regarding payment responsibility and insurance information, used when payment arrangements need to be clarified

1. Schedule A - Authorized Healthcare Providers: List of specific healthcare providers authorized to provide treatment and access medical information

2. Schedule B - Authorized Procedures: Detailed list of specific medical procedures that are pre-authorized

3. Schedule C - Prohibited Treatments: List of specific treatments or procedures that are explicitly not authorized

4. Appendix 1 - Glossary of Medical Terms: Definitions of medical terms used in the authorization form

5. Appendix 2 - Patient Rights Summary: Summary of patient rights under New Zealand law

6. Appendix 3 - Revocation Form: Standard form for revoking the medical authorization if needed