refusal of treatment form pdf
work comp refusal of medical treatment or observation
I, hereby acknowledge my refusal of medical treatment and/or observation offered to me at the expense of Santa Clara University for the work-related injury
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MINOR CONSENT TO MEDICAL TREATMENT LAWS
This compilation includes state, District of Columbia, and territory statutes as of January 2013 regarding minor consent laws to medical treatment.
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REFUSAL OF MEDICAL TREATMENT
Should future medical attention be required for this injury, notify your immediate supervisor and request a Workers. Compensation Claim form.
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