If the patient's hospital of choice is not the definitive care hospital, what form should be obtained at the time the patient makes their choice after being advised of the associated risks?

• A. Patient refused transport/treatment signature
• B. Consent to transport/treatment form
• C. Informed consent form
• D. Release of information

Answer: (A)

When a patient decides to go to a hospital other than the designated definitive care facility, you must document that decision with formal consent or refusal paperwork. After informing the patient of the risks of not going to the definitive care hospital, if they still refuse transport to that facility, you obtain the patient’s signature on a patient refused transport/treatment form. This form captures that the patient understood the potential consequences and made an informed choice to decline the recommended transport or treatment at the definitive facility. The other forms don’t fit because they’re used for consenting to transport or treatment, for general procedures (informed consent), or for releasing information, none of which specifically document a voluntary refusal of transport after risk notification.