Medical refusals

Your medical refusals, one scan away

Blood, vaccines, brain apnea test. Refuse what you choose, in writing, where it will be seen.

What you can refuse

Each refusal is part of a document you sign, in the form your state recognizes. You choose which ones, and exactly how far each one goes.

Organ and tissue donation

Removing your name from the organ donor registry withdraws your yes. It does not record your no, and that is the difference that matters.

  • Your organs, eyes and tissue, and your whole body
  • Every purpose: transplant, therapy, research and education
  • No family member, agent or hospital administrator can donate for you
  • Replaces an earlier registry entry or driver’s license designation

Vaccines

Refuse vaccines and immunizations, and decide for yourself what happens after an exposure.

  • All vaccines, including those given under a standing order or facility protocol
  • Shots after an exposure, such as tetanus, rabies or hepatitis B: refuse them, accept them, or say which in your own words
Can a hospital ignore a refusal? →

Blood

Refuse donor blood, and choose separately about blood fractions and your own blood.

  • Whole blood, red cells, white cells, platelets and plasma, from any donor
  • Blood fractions such as albumin, immunoglobulins and clotting factors: refuse or accept
  • Your own blood returned during or after surgery: refuse, accept, or accept only in a continuous circuit
  • Every other treatment still asked for, including transfer to a bloodless medicine program
Can a hospital ignore a refusal? →

Brain apnea test

Refuse the apnea test, the breathing test used in an evaluation for brain death.

  • For any purpose, including determining death by neurologic criteria
  • No provider, health care agent, surrogate or anyone acting for you can consent to it
When the hospital declares brain death →

Any refusal you already have

Already signed a refusal somewhere else, like a religious directive or a form from your lawyer? Keep it in the same secure record, behind the same code, and sealed every time it is opened.

What your documents say

In the words of the documents you sign.

No one can consent for you

“No other person may consent on my behalf to anything I have refused above.”

It speaks when you can’t

“Silence from me is not consent, and a change in my medical condition is not a change of mind.”

Refusing is not refusing care

“Refusing these products is not a refusal of care.”

Put your refusal where it will be seen

Your record, your personal page, and the code that lets others find it.