Discharge Against Medical Advice Form
What is a discharge against medical advice form?
A discharge against medical advice form, also known as DAMA form, is a legal document that allows patients to leave a healthcare facility before the completion of their treatment plan, against the advice of medical professionals. This form ensures that patients are fully informed of the risks involved in leaving against medical advice and releases the healthcare facility from any liability that may arise from their decision.
What are the types of discharge against medical advice form?
There are two main types of discharge against medical advice forms: 1. General Discharge Against Medical Advice Form: This form is used for patients who are of legal age or have legal capacity to make medical decisions on their own behalf. 2. Consent for Discharge Against Medical Advice Form: This form is used when the patient is unable to make medical decisions on their own, and a legally authorized representative provides consent for the discharge.
How to complete discharge against medical advice form
To complete a discharge against medical advice form, follow these steps: 1. Obtain the form: Request the form from the healthcare facility's administrative staff or download it online, if available. 2. Provide personal information: Fill in your personal details, such as name, date of birth, and contact information. 3. Consultation with a healthcare professional: Discuss your decision to leave against medical advice with a healthcare professional who will explain the potential risks and consequences. 4. Sign the form: Sign the form to indicate your understanding of the risks and release the healthcare facility from any liability. 5. Witness signature: If required, have a witness sign the form to verify your decision. 6. Keep a copy: Make sure to keep a copy of the completed form for your records.
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