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1. Minor's Information: Complete identification details of the minor including full name, date of birth, address, and insurance information
2. Parent/Legal Guardian Information: Full details of parent(s) or legal guardian(s) including contact information and relationship to minor
3. Emergency Contacts: Alternative contacts who can be reached if parents/guardians are unavailable
4. Medical Treatment Authorization: General authorization for routine medical examination, treatment, and emergency care
5. Current Medical Information: Important medical history, allergies, current medications, and existing conditions
6. Consent Declaration: Explicit statement of consent and understanding of medical procedures and risks
7. Duration of Authorization: Validity period of the consent and any conditions for expiration
8. Data Protection Notice: GDPR-compliant statement about processing of personal health data
9. Signature Block: Spaces for dated signatures of all required parties and witnesses
1. Special Medical Procedures: Additional consent for specific procedures that may be necessary, used when certain treatments are anticipated
2. Religious or Cultural Considerations: Specific instructions based on religious or cultural beliefs, included when relevant to medical decisions
3. Custody Information: Details of custody arrangements when parents are separated/divorced, included in cases of shared or split custody
4. Translation Declaration: Confirmation that form contents have been translated, needed when parent/guardian's primary language isn't German
5. Medication Administration: Specific authorization for administering certain medications, included when regular medication is required
6. Photography Consent: Permission for medical photography for treatment purposes, included in cases where visual documentation may be needed
7. Telemedicine Authorization: Consent for remote medical consultations, included when telemedicine services might be used
1. Medical History Form: Detailed medical history questionnaire to be completed by parents/guardians
2. Vaccination Record: Current vaccination status and schedule
3. Medication Schedule: List of current medications, dosages, and administration schedule
4. Emergency Protocol: Specific steps to be taken in case of emergency, including authorized treatments
5. Insurance Information: Copies of insurance cards and coverage details
6. Legal Documentation: Copies of custody orders or guardianship papers where applicable
Healthcare
Medical Services
Pediatric Care
Emergency Medicine
Family Medicine
Medical Administration
Legal Services
Insurance
Education
Legal
Compliance
Medical Records
Patient Services
Emergency Services
Pediatrics
Administration
Risk Management
Insurance Processing
Quality Assurance
Physician
Pediatrician
Emergency Room Doctor
Nurse Practitioner
Hospital Administrator
Medical Office Manager
Legal Counsel
Compliance Officer
Risk Manager
School Nurse
Sports Medicine Physician
Medical Records Manager
Patient Services Coordinator
Healthcare Facility Director
Insurance Coordinator
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