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1. Interpreter Declaration: Required when the patient's primary language is not English or the document needs translation

2. Guardian Consent: Required when the patient is a minor or lacks capacity to provide consent

3. Religious or Cultural Considerations: Special provisions accounting for specific religious or cultural requirements

4. Insurance and Financial Responsibility: Details of insurance coverage and financial obligations, if relevant to the treatment

5. Photography Consent: Permission for medical photography or recording, if required for the procedure

6. Research Participation: Required if the procedure involves any research components

7. Specific Procedure Risks: Detailed risks specific to unusual or high-risk procedures

1. Schedule A - Procedure Details: Detailed description of the medical procedure or treatment being undertaken

2. Schedule B - Risk Disclosure: Comprehensive list of specific risks, complications, and their likelihood

3. Schedule C - Alternative Treatments: Description of alternative treatment options discussed with the patient

4. Appendix 1 - Medical Terms Glossary: Detailed explanations of medical terminology used in the document

5. Appendix 2 - Patient Rights: Summary of patient rights under Nigerian healthcare law

6. Appendix 3 - Emergency Contacts: List of emergency contacts and next of kin information