At Speedy Template, You can download Discharge Against Medical Advice . There are a few ways to find the forms or templates you need. You can choose forms in your state, use search feature to find the related forms. At the end of each page, there is "Download" button for the forms you are looking form if the forms don't display properly on the page, the Word or Excel or PDF files should give you a better reivew of the page.
This is to certify that I am leaving Rush University Medical Center at my own insistence and against the advice of my
physicians and the Medical Center. I have been advised of the possible dangers to my life or health from this departure,
and I hereby assume the risks and consequences involved and release my physicians and the Medical Center from any
liability in connection with my leaving the Medical Center against their advice.