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Commonly Used Patient Forms in Spanish | Cigna

    https://www.cigna.com/health-care-providers/resources/spanish-patient-forms
    Consent, Refusal, Instruction and Treatment forms for Spanish-speaking patients. When your patient's primary language is Spanish, it impedes your ability to get accurate …

Commonly Used Spanish Patient Forms: Consent, Refusal

    https://www.cigna.com/static/www-cigna-com/docs/health-care-providers/commonly-used-spanish-patient-forms.pdf
    Consent to Medical Treatment of a Minor . Outpatient Surgery Consent to Operation or Other Medical Services . Informed Consent for Psychotropic Medication Treatment . …

MCED Forms Spanish - California

    https://www.dhcs.ca.gov/formsandpubs/forms/Pages/MCEDFormsSpanish.aspx
    Medi-Cal Eligibility Divisi on forms are listed below, alphabetically, by form number and has been translated into Spanish. PDF fill and print forms may be …

A Patient’s Right to Refuse Medical Treatment

    https://www.apsf.org/article/a-patients-right-to-refuse-medical-treatment/
    The right to refuse medical treatment is generally based on the common law right of self-determination of one’s body, the ethical principle of respect for autonomy, 1 and the …

Workers' compensation medical forms - Texas Department of …

    https://www.tdi.texas.gov/forms/form20medical.html
    LHL009 Spanish Solicitud para una revisión por parte de una Organización de …

WORK COMP REFUSAL OF MEDICAL TREATMENT OR …

    https://www.scu.edu/media/offices/human-resources/documents/benefits/forms/Refusal_of_Medical_Treatment_or_Observation.pdf
    Brief Narrative Description of the Incident: I, hereby acknowledge my refusal of medical treatment and/or observation offered to me at the expense of Santa Clara University for …

Informed Consent of Subjects Who Do Not Speak English (1995)

    https://www.hhs.gov/ohrp/regulations-and-policy/guidance/obtaining-and-documenting-infomed-consent-non-english-speakers/index.html
    When this procedure is used with subjects who do not speak English, (i) the oral presentation and the short form written document (see sample attached) should be in a …

Forms - myfloridacfo.com

    https://myfloridacfo.com/division/wc/forms
    Florida Workers’ Compensation Uniform Medical Treatment/Status Report Form, Effective June 25, 2006 (Rev. 1/31/2008) - To access the form in Word format, right click the link. …

POLICY #203: PATIENT REFUSAL OF TREATMENT …

    https://www.slocounty.ca.gov/Departments/Health-Agency/Public-Health/Emergency-Medical-Services/Emergency-Medical-Services-Agency/Forms-Documents/Policies,-Procedures,-and-Protocols-(includes-Form/200-299-OPERATIONS/203-Patient-Refusal-of-Treatment-and-or-Transport-.pdf
    Refusal of Treatment and/or Transport Form: Form developed and implemented by the prehospital provider for use when an individual refuses treatment and/or transportation. …

Refusal of Care Against Medical Advice - University Health …

    https://uhs.nd.edu/assets/165484/refusal_of_care_against_medical_advice_form.pdf
    refusal of care and assistance could be hazardous to my health, and under certain circumstances, including disability or death. OR b. ____I acknowledge that I may have a …



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