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Refusal of treatment does not necessarily require refusal for all treatments. If a patient refuses treatment, you must decide whether or not to keep them in your practice. Affidavit for Parents Participating in International Adoption (Word) (pdf) Hep B vaccine in hospital for newborn refusal, sample (pdf) OSHA Declination Statement Form (also, pdf) Religious exemption letter that was approved in Florida (Word) (pdf).
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Each time you checked, the sample against the medical.
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This is a sample form that physicians can use to show a patient refuses to consent to a proposed treatment. State of Wisconsin Emergency Medical Services Sample Policy. I nonetheless refuse to consent to the proposed treatment.
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