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1. Religious or Cultural Preferences: Specific religious or cultural considerations affecting medical treatment, used when patient indicates specific beliefs

2. Organ Donation Authorization: Specific wishes regarding organ donation in case of death, included when patient wants to address this

3. Minor Child Additional Details: Additional authorizations and information required for minors, used when the patient is under 18

4. Mental Health Treatment Authorization: Specific authorizations for mental health treatment, included for patients with known mental health conditions

5. Blood Product Refusal: Specific documentation for refusing blood products, used for patients with religious or personal objections

6. Advance Directives Reference: Reference to existing advance directives or living will, included if such documents exist

1. Schedule A: Detailed Medical History: Comprehensive medical history form including past surgeries, conditions, and treatments

2. Schedule B: Current Medication List: Detailed list of current medications, dosages, and prescribing doctors

3. Schedule C: Allergies and Reactions: Detailed list of known allergies and specific reaction types

4. Appendix 1: Emergency Procedures List: List of specifically authorized emergency procedures

5. Appendix 2: Hospital Preference List: List of preferred hospitals and medical facilities in order of preference