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1. Patient Information: Essential identifying information including full name, HKID/passport number, date of birth, and contact details
2. Emergency Contact Information: Details of person(s) to be contacted in case of emergency
3. Medical Condition Declaration: Brief description of the current medical emergency or condition requiring treatment
4. Consent to Treatment: Express authorization for emergency medical treatment and procedures
5. Financial Responsibility: Acknowledgment of responsibility for payment of medical services
6. Release of Liability: Standard release clause for reasonable medical complications that may arise during emergency treatment
7. Privacy Notice: Acknowledgment of how personal and medical information will be used and shared
8. Signature Block: Space for patient/guardian signature, witness signature, date and time
1. Authorization for Blood Products: Additional consent section for blood transfusions, used when blood products might be needed
2. Religious/Cultural Preferences: Section for declaring specific religious or cultural requirements affecting treatment
3. Interpreter Declaration: Used when translation services are required for non-English/Chinese speaking patients
4. Mental Capacity Assessment: Additional section when patient's capacity to consent is unclear
5. Guardian Authorization: Used when the patient is a minor or lacks capacity to consent
6. Photography Consent: Optional consent for medical photography if needed for treatment documentation
7. Research Participation: Optional consent for anonymous use of case data in medical research
1. Schedule A - List of Common Emergency Procedures: Standard list of emergency procedures and interventions that may be performed
2. Schedule B - Fee Schedule: Basic outline of emergency treatment fees and charges
3. Schedule C - Patient Rights and Responsibilities: Summary of patient rights and responsibilities during emergency treatment
4. Appendix 1 - Hospital Contact Information: Key contact details for hospital departments and administrative offices
5. Appendix 2 - Privacy Policy Summary: Simplified version of the hospital's privacy policy regarding patient information
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