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ArticleInformed Refusal: Toward a Justice based BioethicsScience, Technology, & Human Values 124 The Author(s) 2016 Reprints and permission: sagepub.com/journalsPermissions.nav DOI: 10.1177/0162243916656059
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How to fill out informed refusal
How to fill out informed refusal
01
Read and understand the informed refusal form.
02
Provide all requested personal information.
03
Clearly state the reasons for refusing the recommended treatment or procedure.
04
Sign and date the form to acknowledge the understanding and refusal.
05
If applicable, provide any additional information that may be required.
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Keep a copy of the filled out informed refusal form for future reference.
Who needs informed refusal?
01
Individuals who have been recommended a medical treatment or procedure but wish to decline it.
02
Patients who have concerns about the potential risks, side effects, or outcomes of a particular treatment.
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Individuals who want to explore alternative treatment options before making a decision.
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Patients who have a personal or religious objection to the recommended treatment or procedure.
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People who want to exercise their right to informed consent and be actively involved in their healthcare decisions.
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What is informed refusal?
Informed refusal is when a person, after being fully informed of the risks and benefits of a procedure or treatment, chooses to decline it.
Who is required to file informed refusal?
Individuals who have been informed of a medical procedure or treatment and decide to refuse it are required to file informed refusal.
How to fill out informed refusal?
To fill out informed refusal, the individual needs to acknowledge that they have been fully informed of the risks and benefits, and provide their reason for refusal.
What is the purpose of informed refusal?
The purpose of informed refusal is to ensure that individuals have the autonomy to make decisions about their own medical care after being fully informed.
What information must be reported on informed refusal?
Informed refusal must include the name of the individual, the date, the name of the procedure or treatment, and the reason for refusal.
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