12 Va. Admin. Code § 5-31-1080
In the following circumstances, EMS personnel may refuse to perform specific procedures or treatments, provided medical control is informed of the refusal and the refusal of care is documented on the prehospital patient care report:
§§ 32.1-12 and 32.1-111.4 of the Code of Virginia.
Derived from Virginia Register Volume 19, Issue 3 and Volume 19, Issue 9, eff. January 15, 2003.