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Get S-sv Ems Agency Form 850-a 2010

Gainst Medical Advice (AMA) The following apply to myself or the patient on whose behalf I legally sign this document (check all that apply):      I am refusing medical assessment. I am refusing medical treatment. I am refusing medical transportation. I have received medical assessment and treatment, but decline medical transportation. I am insisting on medical transport to a hospital other than EMS personnel recommend. I understand that the EMS personnel are not physicians and.

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