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1. Emergency Contact Information: Section for designated emergency contacts - required for long-term care or high-risk procedures

2. Religious/Cultural Considerations: Specific provisions regarding religious or cultural requirements affecting medical care

3. Language Assistance: Provisions for translation services if the patient is not fluent in Arabic or English

4. Research Participation: Optional consent for participation in medical research or clinical trials

5. Photography Consent: Permission for medical photography or recording - needed for certain procedures or teaching purposes

6. Remote Services: Terms for telemedicine or remote consultations if applicable

7. Third-Party Payer Provisions: Additional terms when insurance or third-party payment is involved

1. Schedule A - Detailed Service Description: Comprehensive list and description of medical services covered under the agreement

2. Schedule B - Fee Schedule: Detailed breakdown of costs and fees for various services and procedures

3. Schedule C - Consent Forms: Specific consent forms required for different procedures or treatments

4. Schedule D - Privacy Policy: Detailed privacy and data protection policies in compliance with Saudi regulations

5. Appendix 1 - Patient Medical History Form: Standard form for recording patient medical history and current conditions

6. Appendix 2 - Facility Policies: Relevant hospital or clinic policies that affect patient care or services

7. Appendix 3 - Insurance Information: Details of accepted insurance plans and coverage requirements