The patient is declining IV, labs, and imaging against medical advice. The patient demonstrated good understanding and was able to verbalize in their own words the risks of refusing labs and IV and including, death or permanent disability. While I do not agree with their decision, their thought process is goal directed. Their speech is appropriate and mental status is normal. The patient has not demonstrated any SI. The patient was informed that we are always happy to care for her and that she is always welcome to return at any time. The patient understands the warning signs and symptoms that should prompt her to seek immediate emergency care.