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Promoting Patient Responsibility - Thurston County Chamber

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Physicians Insurance A Mutual Company<br />

Informed refusal<br />

• Based on a P-A-B-R-C discussion patient<br />

elects to forego recommended treatment<br />

• Decision may have significant negative<br />

impact on health and quality of life<br />

• Document P-A-B-R-C discussion and<br />

basis for patient’s decision<br />

• Draft a letter memorializing discussion and<br />

decision

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