Informed Refusal of Consent Form
Product information
Product Details
- Product Type: Forms
- Version: 1
- Tags:
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Description:
This fully customisable, comprehensive, and ready-to-use Informed Refusal of Consent Form template is designed to support you as an NDIS provider in developing a safe, consistent, and person-centred approach to formally document a person’s decision to decline a recommended service, treatment, or support after being fully informed about its nature, potential benefits, and risks, aligning with the NDIS Practice Standards, relevant legislation, and best-practice guidelines.
This template provides written confirmation that the individual (or their guardian/representative) has chosen not to give consent for a specific action, treatment, or service, confirms that the person making the decision understood the information presented — including possible outcomes, alternatives, and risks of refusal — before declining, protects both the organisation and the individual by showing that all relevant information was communicated clearly and that the decision was made voluntarily and with understanding and reinforces the individual’s right to autonomy and to make choices about their own body, care, or participation — even when the choice involves refusing recommended interventions.
Suitable for independent support workers, sole traders, unregistered & registered providers, medical and allied health professionals across Australia.
Also known as
- Refusal of Treatment Form
- Declination of Consent Form
- Informed Declination Form
- Consent Refusal Record
- Refusal to Consent Statement Form
- Non‑Consent Acknowledgment Form
- Service or Support Refusal Form
- Informed Decline of Participation Form
- Refusal of Support or Intervention Record
- Acknowledgment of Declined Consent
- Decision to Decline Service/Support Form