diff --git a/backend/src/lib/access.ts b/backend/src/lib/access.ts
index d506115..d8aa50a 100644
--- a/backend/src/lib/access.ts
+++ b/backend/src/lib/access.ts
@@ -7,11 +7,15 @@ import {
 } from "better-auth/plugins/organization/access";
 
 // RBAC for clinics (organizations). We extend Better Auth's default
-// organization statements (organization / member / invitation / team) with a
-// `patient` resource so roles can be granted fine-grained access to records.
+// organization statements (organization / member / invitation / team) with
+// clinical resources (`patient`, `appointment`, `prescription`, `task`) so roles
+// can be granted fine-grained access to records.
 export const statements = {
   ...defaultStatements,
   patient: ["read", "write", "delete"],
+  appointment: ["read", "write", "delete"],
+  prescription: ["read", "write", "delete"],
+  task: ["read", "write", "delete"],
 } as const;
 
 export const ac = createAccessControl(statements);
@@ -21,26 +25,38 @@ export const ac = createAccessControl(statements);
 // and add a read-only `viewer`. In the UI these read as Owner / Admin /
 // Clinician (member) / Viewer.
 //
-// owner / admin: run the clinic AND have full access to patient records.
+// owner / admin: run the clinic AND have full access to clinical records.
 export const owner = ac.newRole({
   ...ownerAc.statements,
   patient: ["read", "write", "delete"],
+  appointment: ["read", "write", "delete"],
+  prescription: ["read", "write", "delete"],
+  task: ["read", "write", "delete"],
 });
 
 export const admin = ac.newRole({
   ...adminAc.statements,
   patient: ["read", "write", "delete"],
+  appointment: ["read", "write", "delete"],
+  prescription: ["read", "write", "delete"],
+  task: ["read", "write", "delete"],
 });
 
-// member (clinician): a regular member who can read and edit patient records.
+// member (clinician): a regular member who can read and edit clinical records.
 export const member = ac.newRole({
   ...memberAc.statements,
   patient: ["read", "write"],
+  appointment: ["read", "write", "delete"],
+  prescription: ["read", "write", "delete"],
+  task: ["read", "write", "delete"],
 });
 
-// viewer: read-only access to patient records.
+// viewer: read-only access to clinical records.
 export const viewer = ac.newRole({
   patient: ["read"],
+  appointment: ["read"],
+  prescription: ["read"],
+  task: ["read"],
 });
 
 export const roles = { owner, admin, member, viewer };
diff --git a/backend/src/middleware/auth.ts b/backend/src/middleware/auth.ts
index 6844f62..49b1a7d 100644
--- a/backend/src/middleware/auth.ts
+++ b/backend/src/middleware/auth.ts
@@ -5,7 +5,7 @@ import type { NextFunction, Request, Response } from "express";
 import { auth } from "../auth.js";
 import { db } from "../db/index.js";
 import { member } from "../db/schema/auth.js";
-import { roles } from "../lib/access.js";
+import { roles, type statements } from "../lib/access.js";
 import { HttpError } from "../lib/http-error.js";
 
 // Validates the Better Auth session cookie and attaches the user + session.
@@ -61,8 +61,12 @@ export async function requireOrg(
   }
 }
 
-type PatientAction = "read" | "write" | "delete";
-type PermissionRequest = { patient?: PatientAction[] };
+// A permission request maps clinic resources (patient / appointment / … defined
+// in src/lib/access.ts) to the actions required on them. Mirrors the shape Better
+// Auth's `role.authorize` accepts.
+type PermissionRequest = Partial<{
+  [R in keyof typeof statements]: ((typeof statements)[R][number])[];
+}>;
 
 // Gates a route on a clinic permission, evaluated against the caller's role(s)
 // using the shared access-control definitions. Must run after requireOrg.
diff --git a/frontend/lib/access.ts b/frontend/lib/access.ts
index cbd3e8d..b03c489 100644
--- a/frontend/lib/access.ts
+++ b/frontend/lib/access.ts
@@ -11,6 +11,9 @@ import {
 export const statements = {
   ...defaultStatements,
   patient: ["read", "write", "delete"],
+  appointment: ["read", "write", "delete"],
+  prescription: ["read", "write", "delete"],
+  task: ["read", "write", "delete"],
 } as const;
 
 export const ac = createAccessControl(statements);
@@ -18,20 +21,32 @@ export const ac = createAccessControl(statements);
 export const owner = ac.newRole({
   ...ownerAc.statements,
   patient: ["read", "write", "delete"],
+  appointment: ["read", "write", "delete"],
+  prescription: ["read", "write", "delete"],
+  task: ["read", "write", "delete"],
 });
 
 export const admin = ac.newRole({
   ...adminAc.statements,
   patient: ["read", "write", "delete"],
+  appointment: ["read", "write", "delete"],
+  prescription: ["read", "write", "delete"],
+  task: ["read", "write", "delete"],
 });
 
 export const member = ac.newRole({
   ...memberAc.statements,
   patient: ["read", "write"],
+  appointment: ["read", "write", "delete"],
+  prescription: ["read", "write", "delete"],
+  task: ["read", "write", "delete"],
 });
 
 export const viewer = ac.newRole({
   patient: ["read"],
+  appointment: ["read"],
+  prescription: ["read"],
+  task: ["read"],
 });
 
 export const roles = { owner, admin, member, viewer };