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Client Informed RefusalName of Procedure/Treatment: DOB: Client Name SSN#: 301 Centennial Mall South, P.O. Box 94817 Lincoln, NE 685094817 Phone: 18005322227 Fax: (402) 4710913Directions for form:
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What is client informed refusal?
Client informed refusal is when a client chooses to decline a specific service or treatment after being fully informed of the potential risks and benefits.
Who is required to file client informed refusal?
Healthcare providers or professionals are required to document client informed refusals in the client's medical records.
How to fill out client informed refusal?
To fill out a client informed refusal, the healthcare provider must document the client's decision, the information provided to the client, and any discussions had regarding the refusal.
What is the purpose of client informed refusal?
The purpose of client informed refusal is to ensure that clients are fully informed of their options and are making informed decisions about their healthcare.
What information must be reported on client informed refusal?
Client informed refusal must include the client's decision, the risks and benefits discussed, any alternatives offered, and the healthcare provider's signature.
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