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59 MDW Form 172 Release From Responsibility Upon Departure Against Medical Advice
What Is 59 MDW Form 172?
This is a legal form that was released by the U.S. Air Force - 59th Medical Wing on January 11, 2017 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is MDW Form 172?
A: MDW Form 172 is a form used to release a patient from responsibility upon departure against medical advice.
Q: What does MDW Form 172 do?
A: MDW Form 172 releases a patient from responsibility if they choose to leave the medical facility against medical advice.
Q: When is MDW Form 172 used?
A: MDW Form 172 is used when a patient decides to leave the medical facility against the advice of the medical staff.
Q: Why is MDW Form 172 used?
A: MDW Form 172 is used to document the patient's decision to leave against medical advice and to release the facility from responsibility.
Q: Who fills out MDW Form 172?
A: MDW Form 172 is usually filled out by the patient or their legal guardian.
Q: What happens after MDW Form 172 is filled out?
A: After MDW Form 172 is filled out, the patient is released from responsibility and can leave the medical facility.
Q: Is MDW Form 172 legally binding?
A: MDW Form 172 is a legal document that can release the medical facility from responsibility, but its enforceability may vary depending on jurisdiction.
Form Details:
- Released on January 11, 2017;
- The latest available edition released by the U.S. Air Force - 59th Medical Wing;
- Easy to use and ready to print;
- Yours to fill out and keep for your records;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of 59 MDW Form 172 by clicking the link below or browse more documents and templates provided by the U.S. Air Force - 59th Medical Wing.
