Refusal Of Medical Treatment Form

Refusal Of Medical Treatment Form - Use this form if an employee has a minor injury and they do not feel that they need medical treatment. I also understand there could be risks of refusing. I, hereby acknowledge my declination of medical treatment and/or observation offered to me by_______________________for the injury or illness. They include but are not limited to a potential delay in diagnosis and treatment of health conditions. The primary purpose of the employee refusal of medical treatment form is to document an employee’s decision to decline medical care after.

I also understand there could be risks of refusing. The primary purpose of the employee refusal of medical treatment form is to document an employee’s decision to decline medical care after. I, hereby acknowledge my declination of medical treatment and/or observation offered to me by_______________________for the injury or illness. Use this form if an employee has a minor injury and they do not feel that they need medical treatment. They include but are not limited to a potential delay in diagnosis and treatment of health conditions.

I, hereby acknowledge my declination of medical treatment and/or observation offered to me by_______________________for the injury or illness. The primary purpose of the employee refusal of medical treatment form is to document an employee’s decision to decline medical care after. I also understand there could be risks of refusing. Use this form if an employee has a minor injury and they do not feel that they need medical treatment. They include but are not limited to a potential delay in diagnosis and treatment of health conditions.

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I, Hereby Acknowledge My Declination Of Medical Treatment And/Or Observation Offered To Me By_______________________For The Injury Or Illness.

Use this form if an employee has a minor injury and they do not feel that they need medical treatment. They include but are not limited to a potential delay in diagnosis and treatment of health conditions. I also understand there could be risks of refusing. The primary purpose of the employee refusal of medical treatment form is to document an employee’s decision to decline medical care after.

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