DA Form 5009. Medical Record - Release Against Medical Advice
Form DA 5009 is a Medical Record - Release Against Medical Advice. This form is used by medical facilities and personnel to document a patient's decision to leave a medical facility against the advice of medical professionals. The purpose of this form is to ensure that the patient understands the risks and consequences of leaving medical care prematurely and to release the medical facility from any liability related to the patient's decision.