MR36 WACHS Discharge Against Medical Advice Form

Name/Title	MR36 WACHS Discharge Against Medical Advice Form (PDF)
Document ID	TS4KSNFPVEZQ-210-16062
Current from	05/08/2020
Coverage	WACHS
Policy Type	Form
Summary	Any person who wishes to leave the hospital against medical advice is to be requested to sign a written declaration (MR36 WACHS Discharge Against Medical Advice form) that he or she is leaving the hospital against medical advice.

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