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Medico-Legal Tip of the day-14th Nov 2015

View All DiscussionsCategory: Medico LegalMedico-Legal Tip of the day-14th Nov 2015
asked 12 months ago

Query- I would like to know your opinion about the right practice if a patient got discharged at request or against medical advice.
1.Do we need to give Discharge summary or a simple reference letter will suffice?
2.If we give summary do we need to give discharge medication?
Please clarify.
Thank you very much.
Dr.Sudhakar MV
Orthopaedic Surgeon
Answer- Your liabilities are different in each case and are summarised as  follows

  1. Patient absconding (Patient went away without informing) – Just note down in case file that patient has absconded and inform police in writing.
  2. Patient want discharge against medical advice- patient has right to take discharge summary. Record in case sheet that patient / relatives want discharge against medical advice and take their signature.
  3. Discharge on request as they want to take to other hospital- give discharge summary, arrange for ambulance and doctor if patient is critically ill.
  4. Discharge on request- give discharge summary and discharge medication.


With warm regards,
Prof ( Dr ) R K Sharma
Medico-Legal Consultant
President, Indian Association of Medico-Legal Experts , New Delhi
Former Head, Department of Forensic Medicine, All-India Institute of Medical Sciences, New Delhi
tel no 0091-9891098542
Supreme Medico-legal Protection Services Pvt Ltd
315 , Hemkunt Chambers
89, Nehru Place
New Delhi – 110019
Tel – 011- 41660642
Mobile – 9891098542 , 9971888542