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1. Emergency Contact Information: Additional emergency contacts besides the authorized person, used when multiple contacts need to be listed

2. Specific Medical Conditions: Details of existing medical conditions that require special attention, included when the authorizer has specific health concerns

3. Religious or Cultural Preferences: Specific religious or cultural considerations for medical treatment, included when relevant to treatment decisions

4. Revocation Clause: Specific terms under which the authorization can be revoked, included when the authorizer wants to specify these conditions

5. Digital Communication Consent: Authorization for digital communication and telemedicine decisions, included when electronic healthcare services may be used

1. Medical History Summary: Summary of relevant medical history, current medications, and allergies

2. Healthcare Provider List: List of current healthcare providers and their contact information

3. Specific Treatment Instructions: Detailed instructions for specific medical situations or treatments

4. Insurance Information: Detailed health insurance information and coverage details