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AFFIX PATIENT IDENTIFICATION LABEL HERE U.R. NUMBER: SURNAME: REFUSAL OF TREATMENT CERTIFICATE: GIVEN NAME: DATE OF BIRTH: / / SEX: COMPETENT PERSON SCHEDULE 1 Medical Treatment Act 1988, Section
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How to fill out refusal of treatment competent:

01
Start by clearly stating your name, date of birth, and any other identifying information required on the form.
02
Read through the form carefully to understand what information is being requested. Pay attention to any specific instructions or guidelines provided.
03
Consult with a healthcare professional if you have any questions or concerns about the form. They can help clarify any medical jargon or assist with filling out specific sections.
04
Provide accurate and detailed information about your medical history, including any known allergies, chronic conditions, or medications you are currently taking.
05
Consider including a statement about your reasons for refusing treatment. This can help provide context for your decision and ensure that your wishes are understood.
06
Sign and date the form, indicating that you have completed it truthfully and to the best of your abilities.
07
Make copies of the completed form for your own records and share it with your healthcare provider, family members, or designated healthcare agent, if applicable.

Who needs refusal of treatment competent:

01
Individuals who have a specific treatment in mind that they do not wish to undergo or receive.
02
Patients who want to ensure their treatment decisions are respected and followed, even if they become incapacitated or unable to communicate their wishes in the future.
03
People who want to designate a healthcare agent or proxy to make medical decisions on their behalf, following their indicated preferences for refusing certain treatments.
04
Those who have religious or personal beliefs that prohibit certain treatments and want to ensure those beliefs are respected and honored by their healthcare providers.
05
Individuals who want to have more control over their medical care and treatment options, particularly in situations where they may not be able to advocate for themselves.
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Refusal of treatment competent is when a person is capable of making decisions about their medical treatment and chooses to decline certain treatments.
Any competent individual has the right to refuse medical treatment.
To fill out refusal of treatment competent, a person can draft a document stating their wishes to decline certain medical treatments, sign it in front of witnesses and provide copies to their healthcare providers.
The purpose of refusal of treatment competent is to ensure that an individual's medical wishes are respected in the event they are unable to make decisions for themselves.
The refusal of treatment competent document should include the individual's name, date, specific treatments being refused, and signature.
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