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What I tend to do instead in cases like these is leave out “AMA” altogether and outline in detail the full context and history (obviously there are key exceptions here). But keep in mind, in this case, I’m not talking about having someone leave the hospital despite my advice - I’m accepting them. I can’t speak to what happened at the initial hospital and how it was documented. I understand that many physicians choose to write “AMA” in discharges that truly are against medical advice to protect t
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