Free AMA Forms and Templates

What Is an AMA Form?

An AMA Form is a document that is used to record a patient's decision to leave a healthcare facility or refuse medical treatment against the advice of their healthcare provider.

Alternate Names:

• Against Medical Advice Form;
• AMA Medical Form;
• AMA Release Form.

This form is used to protect healthcare providers from liability in case of any adverse outcomes that may occur as a result of a patient's decision to leave against medical advice. Any standard Against Medical Advice Form typically includes:

• The patient's name;
• Their reason for leaving against medical advice;
• A statement acknowledging that the patient understands the potential risks and consequences of their decision;
• The form must be signed by the patient or their legal representative to indicate that they have made an informed decision and acknowledge total accountability for any negative effects that could arise from their choice.

The use of an AMA form is important because it helps to ensure that patients are fully informed about the potential risks of leaving a healthcare facility or refusing medical treatment.

In some cases, healthcare providers may attempt to persuade a patient to stay and receive the recommended medical treatment. However, if a patient chooses to depart from the facility against the advice offered by medics, the medical facility must respect this choice and provide them with the necessary instruction and documentation to ensure that they are fully informed about the potential risks and consequences of such a choice. Under no circumstances should a medical professional force hospitalization or a particular treatment on any individual, even if this could result in the worst possible outcome. Each individual (or their legal representative) has their own legal right to make a choice that best suits them.

For a full list of AMA Form templates please feel free to check out our library below.

Still looking for a particular template? Take a look at the related templates below:

• Hospital Discharge Form;
• Medical Claim Form;
• Medical History Form.