Patients, care and autonomy · France and Switzerland : separate country-labelled rules
Leaving hospital against advice: document the choice
Leaving hospital against medical advice concerns information, the patient's situation and continuity documents in a voluntary stay. France and Switzerland require their own legal context, and compulsory admission is a different case. Keep the explanations, discharge papers and proposed follow-up together. This document tool does not recommend ending treatment or replace a clinician's discussion of the risks.
Text in force27 May 2003Sources checked1 November 2026
- Official texts cited
- Sources checked on
- Drafted with AI assistance, our method
General legal information with official references and dated checks. It is not personalised advice: for a decision that commits you, have your situation checked by a qualified professional.
Julie by AlphaDeep
Your question concerns “Leaving hospital against advice: document the choice”. I can help organise the facts and records. Which document have you received or prepared, and is this a French or Swiss matter?
3 free questions at signup. Avoid names and sensitive information.
Is the admission voluntary?
Confirm the legal status first. Compulsory placement has a separate review route which a discharge signature does not remove.
Code de la santé publique art. R1112-62Code de la santé publique art. L1111-4210 : Art. 19 c210 : Art. 28Genève K1.03 : art.36 Sortie d'une institution de santéGenève K1.03 : art.46 Choix libre et éclairé : Personne capable de discernementService Public : Droits du patient hospitaliséService Public : Soins pour troubles psychiatriques
Which records are still missing from your file?
Indicate which records you have. The result identifies gaps and prepares a complete question for Julie, without requiring an account.
Fictional example · Your preparation
Point to complete: Follow-up contacts. Record service and contacts without publishing health information. An urgent care need belongs with appropriate medical services.
- Admission status
- Record available
- Risk information
- Record available
- Discharge records
- Record available
- Follow-up contacts
- Needs checking
- Records indicated
- 3 / 4
- Which follow-up contacts were supplied?
This worksheet organises records; it does not establish admissibility, entitlement or a procedural outcome.
What risks were explained by the clinician?
France's R1112-62 addresses risk information and an attestation within its scope. This legal worksheet does not recommend leaving care.
Which discharge documents were provided?
Inventory available records and unresolved clinical questions. A legal tool cannot assess whether departure is medically safe.
Which follow-up contacts were supplied?
Record service and contacts without publishing health information. An urgent care need belongs with appropriate medical services.
Which documents answer which questions?
| Record or information | Issue to check |
|---|---|
| Admission status | Confirm the legal status first. Compulsory placement has a separate review route which a discharge signature does not remove. |
| Risk information | France's R1112-62 addresses risk information and an attestation within its scope. This legal worksheet does not recommend leaving care. |
| Discharge records | Inventory available records and unresolved clinical questions. A legal tool cannot assess whether departure is medically safe. |
| Follow-up contacts | Record service and contacts without publishing health information. An urgent care need belongs with appropriate medical services. |
Code de la santé publique art. R1112-62Code de la santé publique art. L1111-4210 : Art. 19 c210 : Art. 28Genève K1.03 : art.36 Sortie d'une institution de santéGenève K1.03 : art.46 Choix libre et éclairé : Personne capable de discernementService Public : Droits du patient hospitaliséService Public : Soins pour troubles psychiatriques
Does refusing a French attestation end all rights?
No. R1112-62 provides for recording refusal within its scope. A discharge form is not a universal waiver.
Code de la santé publique art. R1112-62Code de la santé publique art. L1111-4210 : Art. 19 c210 : Art. 28Genève K1.03 : art.36 Sortie d'une institution de santéGenève K1.03 : art.46 Choix libre et éclairé : Personne capable de discernementService Public : Droits du patient hospitaliséService Public : Soins pour troubles psychiatriques
What does the Swiss example actually cover?
Geneva LS36 concerns departure after risk information; LS46 concerns capable-patient consent and withdrawal. These details are Geneva-specific, not a national discharge form.
Code de la santé publique art. R1112-62Code de la santé publique art. L1111-4210 : Art. 19 c210 : Art. 28Genève K1.03 : art.36 Sortie d'une institution de santéGenève K1.03 : art.46 Choix libre et éclairé : Personne capable de discernementService Public : Droits du patient hospitaliséService Public : Soins pour troubles psychiatriques
Which official provision helps explain this situation?
Sous réserve des dispositions de l'article L. 1111-5, à l'exception des mineurs et des personnes hospitalisées d'office, les malades peuvent, sur leur demande, quitter à tout moment l'établissement.
In plain English: No. R1112-62 provides for recording refusal within its scope. A discharge form is not a universal waiver.
Are minor or compulsory admissions the same?
No. Capacity, representation and lawful restrictions need separate analysis. Do not apply the ordinary voluntary-departure sequence automatically.
What does the discharge chronology organise?
It separates status, information, records and follow-up. It authorises no clinical departure and does not replace the treating team's assessment.
What other questions arise in this file?
What risks were explained by the clinician?
France's R1112-62 addresses risk information and an attestation within its scope. This legal worksheet does not recommend leaving care.
Code de la santé publique art. R1112-62Code de la santé publique art. L1111-4210 : Art. 19 c210 : Art. 28Genève K1.03 : art.36 Sortie d'une institution de santéGenève K1.03 : art.46 Choix libre et éclairé : Personne capable de discernementService Public : Droits du patient hospitaliséService Public : Soins pour troubles psychiatriques
Which follow-up contacts were supplied?
Record service and contacts without publishing health information. An urgent care need belongs with appropriate medical services.
Code de la santé publique art. R1112-62Code de la santé publique art. L1111-4210 : Art. 19 c210 : Art. 28Genève K1.03 : art.36 Sortie d'une institution de santéGenève K1.03 : art.46 Choix libre et éclairé : Personne capable de discernementService Public : Droits du patient hospitaliséService Public : Soins pour troubles psychiatriques
Does refusing a French attestation end all rights?
No. R1112-62 provides for recording refusal within its scope. A discharge form is not a universal waiver.
Code de la santé publique art. R1112-62Code de la santé publique art. L1111-4210 : Art. 19 c210 : Art. 28Genève K1.03 : art.36 Sortie d'une institution de santéGenève K1.03 : art.46 Choix libre et éclairé : Personne capable de discernementService Public : Droits du patient hospitaliséService Public : Soins pour troubles psychiatriques
Are minor or compulsory admissions the same?
No. Capacity, representation and lawful restrictions need separate analysis. Do not apply the ordinary voluntary-departure sequence automatically.
Code de la santé publique art. R1112-62Code de la santé publique art. L1111-4210 : Art. 19 c210 : Art. 28Genève K1.03 : art.36 Sortie d'une institution de santéGenève K1.03 : art.46 Choix libre et éclairé : Personne capable de discernementService Public : Droits du patient hospitaliséService Public : Soins pour troubles psychiatriques
Which official references should you consult?
- Code de la santé publique art. R1112-62Légifrance
- Code de la santé publique art. L1111-4Légifrance
- 210 : Art. 19 cFedlex
- 210 : Art. 28Fedlex
- Genève K1.03 : art.36 Sortie d'une institution de santéSource officielle
- Genève K1.03 : art.46 Choix libre et éclairé : Personne capable de discernementSource officielle
- Service Public : Droits du patient hospitaliséSource officielle
- Service Public : Soins pour troubles psychiatriquesSource officielle
Texts cited last checked: 1 November 2026