If you would like to leave a medical institution against medical advice, here is a sample letter against medical advice.
Date
To,
[Recipient Name]
Subject: Leaving Against Medical Advice
Dear [Name],
I am writing this letter to certify that I, [enter name], a patient at, [enter hospital’s name] suffering from [enter illness], want to leave against the medical advice of my doctor[s].
I am well aware of my medical conditions’ risks/benefits, and I truly understand them. I hereby release all the medical staff from the responsibility for all the consequences that might occur because of my leaving under these circumstances.
Sincerely,
[Your Name]
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