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COUNTY OF SACRAMENTO EMERGENCY MEDICAL SERVICES AGENCYDocument #2101.16PROGRAM DOCUMENT:Draft Date:07/29/14Effective:11/01/17Revised:06/12/17Review:05/01/19Patient Initiated Refusal of EMS Assessment,
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How to fill out patient initiated refusal of
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First, gather all the necessary information about the patient who is initiating the refusal.
02
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03
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04
Include any additional information or specific instructions provided by the patient regarding the refusal.
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Ensure that the patient has signed and dated the refusal form in order to validate their decision.
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Review the completed document for accuracy and make copies for both the patient and healthcare provider's records.
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It is essential for healthcare providers to have patient initiated refusal forms on file to ensure legal compliance and patient autonomy.
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These forms also serve as a communication tool between the patient and healthcare provider, allowing for clear documentation of the patient's preferences and decisions.
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