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1. Multiple Decision Makers: Section to be included when more than one person is authorized to make medical decisions, establishing hierarchy and process

2. Specific Treatment Exclusions: Section listing any specific treatments or procedures that are explicitly excluded from the consent

3. Religious or Cultural Preferences: Section documenting any religious or cultural considerations that should influence medical decisions

4. Advance Healthcare Directive Integration: Section to be included if the parent has an existing advance healthcare directive that needs to be referenced

5. Geographic Limitations: Section specifying if the consent is limited to certain healthcare facilities or geographic areas

6. End of Life Preferences: Optional section for documenting specific end of life care preferences

7. Alternative Decision Maker: Section appointing backup decision makers if primary cannot be reached

1. Schedule 1 - Capacity Assessment: Copy of recent medical capacity assessment of the elderly parent

2. Schedule 2 - Authorized Medical Procedures: Detailed list of specific medical procedures and treatments covered by the consent

3. Schedule 3 - Contact Information: Complete contact details for all relevant parties, including emergency contacts and healthcare providers

4. Schedule 4 - Medical History: Summary of relevant medical history and current conditions

5. Appendix A - Guidelines for Emergency Situations: Detailed procedures for emergency situations and decision-making protocols

6. Appendix B - Communication Protocol: Step-by-step protocol for how medical staff should communicate with decision makers