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1. Parties: Identification of the healthcare provider/facility and the patient
2. Background: Context of the medical procedure or treatment being provided and purpose of the waiver
3. Definitions: Clear definitions of key terms used in the document, including 'malpractice', 'negligence', and specific medical procedures
4. Acknowledgment of Risks: Detailed description of potential risks and complications associated with the treatment
5. Scope of Waiver: Clear explanation of what rights are being waived and what rights cannot be waived under NZ law
6. ACC Coverage Statement: Explanation of how the ACC scheme applies and what it covers
7. Patient Declarations: Statements confirming the patient's understanding and voluntary acceptance
8. Duration and Survival: Period for which the waiver remains valid
9. Governing Law: Confirmation that New Zealand law governs the agreement
10. Execution: Signature blocks and witness requirements
1. Specific Procedure Details: Additional section for complex medical procedures requiring detailed explanation
2. Third Party Rights: Section addressing rights of family members or dependents, if relevant
3. Revocation Rights: Terms under which the patient can revoke the waiver, if applicable
4. Translation Certificate: For non-English speaking patients, certification of accurate translation
5. Mental Capacity Declaration: Additional declarations for situations where patient capacity might be questioned
1. Schedule 1 - Specific Risks: Detailed list of procedure-specific risks and complications
2. Schedule 2 - Patient Information: Detailed patient medical history and relevant information
3. Schedule 3 - Procedure Description: Detailed description of the medical procedure or treatment
4. Appendix A - Patient Rights Summary: Summary of patient rights under NZ law that cannot be waived
5. Appendix B - ACC Coverage Summary: Summary of relevant ACC coverage and limitations
Healthcare
Medical Services
Dental Services
Allied Health Services
Alternative Medicine
Cosmetic Surgery
Private Hospitals
Medical Clinics
Rehabilitation Services
Mental Health Services
Legal
Compliance
Risk Management
Clinical Operations
Patient Services
Quality Assurance
Medical Administration
Healthcare Operations
Document Control
Medical Director
Hospital Administrator
Clinical Risk Manager
Healthcare Facility Manager
Legal Counsel
Compliance Officer
Medical Practitioner
Healthcare Provider
Practice Manager
Quality Assurance Manager
Patient Services Coordinator
Clinical Operations Manager
Healthcare Risk Assessment Officer
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