If a client declines a prescribed medication, the provider must:

1. (1) Document the decline, including the time, date, and medication declined;
2. (2) Inform the client of the benefit of the medication;
3. (3) Consult a pharmacist or licensed medical provider with prescription authority to determine if declining the medication could significantly harm the client;
4. (4) If recommended, continue to offer the medication following consultation with subsection (3) of this section; and
5. (5) Inform the client's parent or legal representative of the declined medication and any reasons for declining if shared by the client.

[Statutory Authority: RCW 71A.12.030, 71A.12.380, 71A.12.380(1), and 42 C.F.R. 441.301. WSR 25-15-103, s 388-842-0095, filed 7/17/25, effective 8/17/25.]