Get Medical Liability And Release Form - Cal Fire/san Luis Obispo ... - Calfireslo

Filling out the Medical Liability and Release Form is an important step in the process of ensuring your wishes are respected during emergencies. This guide will provide you with clear instructions on how to complete this form online effectively.

Follow the steps to complete the form with ease.

1. Press the ‘Get Form’ button to obtain the Medical Liability and Release Form and open it in your chosen editor.
2. In the first section, provide your name in the blank space to indicate the individual who is refusing medical care and/or transportation.
3. Next, acknowledge your voluntary refusal by signing in the designated area labeled 'Patient / Guardian Signature' along with the date of signing.
4. If applicable, fill out the 'Patient Refused Signature' section for additional acknowledgment of refusal.
5. Complete the 'Witness Name / Witness Signature' and the corresponding date sections to have a witness present as you refuse medical care.
6. Enter the Social Security Number (SSN) or California Driver License (CDL) number in the provided fields as required for identification purposes.
7. Both witnesses will need to sign and fill out their SSN or CDL as well, ensuring all necessary information is accurately provided.
8. For medical professionals, ensure you read the physician's responsibility carefully. If taking charge, provide your signature, professional license number, and date.
9. Review all entries for accuracy before saving any changes. Once completed, download, print, or share the form as necessary.

Complete your documents online today to ensure your preferences are clearly documented.