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1. Payment Plan Details: Used when the patient requires an installment payment plan, including specific payment schedule

2. Third-Party Guarantor: Include when another party is guaranteeing payment on behalf of the patient

3. Insurance Assignment: Used when patient has partial insurance coverage with remaining self-pay portion

4. Translation Declaration: Required when the patient's primary language is not Arabic or English

5. Emergency Services Provisions: Include for agreements covering emergency or urgent care services

6. Religious/Cultural Accommodations: Special provisions for religious or cultural requirements affecting medical care

7. Medical Condition Specific Terms: Additional terms specific to particular medical conditions or treatments

1. Schedule A - Fee Schedule: Detailed breakdown of costs for various medical services and procedures

2. Schedule B - Payment Plan: Detailed payment plan including installment amounts and due dates if applicable

3. Schedule C - Service Details: Specific medical services or treatments covered under the agreement

4. Appendix 1 - Patient Rights Document: Comprehensive list of patient rights under Saudi healthcare laws

5. Appendix 2 - Financial Policies: Healthcare provider's detailed financial and billing policies

6. Appendix 3 - Required Documents: List of required identity and financial documents to be attached

7. Appendix 4 - Consent Forms: Standard medical and procedure consent forms