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The completed refusal form document is direct evidence that the involved patient was given the opportunity for the service being offered and was made aware of the health consequences that can occur if they do not receive the service or treatment.
Under federal law, the Patient Self-Determination Act (PSDA) guarantees the right to refuse life sustaining treatment at the end of life.
At some point in their career, all dentists have a patient who refuses to consent to treatment. It is the patients right to refuse consent. When that happens, carefully document the refusal and inform the patient of the potential health issues involved because treatment was refused.
The ADA states, If the patient refuses the proposed treatment, the dentist must inform the patient about the consequences of not accepting the treatment and get a signed informed refusal. However, obtaining an informed refusal does not release the dentist from the responsibility of providing a standard of care.
Informed refusal: When patients decline treatment.
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A PCR and a prehospital providers refusal of treatment and/or transport form must be completed for each incident of refusal of emergency medical evaluation, care, or transportation to the appropriate receiving hospital.
DOCUMENTING INFORMED REFUSAL describe the intervention offered; identify the reasons the intervention was offered; identify the potential benefits and risks of the intervention; note that the patient has been told of the risks including possible jeopardy to life or health in not accepting the intervention;
You can help protect yourself by documenting patients informed refusal of your medical advice.Documentation should include the following: The patients capacity to understand the information being provided or discussed. Treatment was offered and refused. The reasons a patient refuses a treatment.

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