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Initiated: 5/15/97 Reviewed/revised: 7/1/11 Revision: 2 MILWAUKEE COUNTY EMS Approved by: Ronald Pinball, MD, MESA STANDARD OF CARE Signature: REFUSAL OF MEDICAL CARE Page 1 of 1 AND/OR TRANSPORT
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What is refusal of care-transport 7-11doc?
The refusal of care-transport 7-11doc is a document that is used to record when a patient declines transportation to a medical facility after receiving medical care or treatment.
Who is required to file refusal of care-transport 7-11doc?
The healthcare provider or emergency medical services personnel who offered care to the patient and were refused transportation are required to file the refusal of care-transport 7-11doc.
How to fill out refusal of care-transport 7-11doc?
The refusal of care-transport 7-11doc should be filled out by documenting the patient's name, date and time of refusal, reason for refusal, details of care provided, and signatures of the patient and healthcare provider or EMS personnel.
What is the purpose of refusal of care-transport 7-11doc?
The purpose of the refusal of care-transport 7-11doc is to document and confirm that the patient was offered transportation to a medical facility but declined, ensuring that there is a record of the decision.
What information must be reported on refusal of care-transport 7-11doc?
The refusal of care-transport 7-11doc must include the patient's name, date and time of refusal, reason for refusal, details of care provided, and signatures of the patient and healthcare provider or EMS personnel.
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