The purpose and effect of the proposed rule is to amend Forms DC4-711A, Refusal of Health Care Services, and Form DC2-813, Acknowledgment of Responsibility to Maintain Confidentiality of Medical Information. Form DC4-711A is being revised to eliminate the requirement that the clinician signing the form be a physician and Form DC2-813 is being revised to clarify that entities working via a contract with the Department of Corrections is required to maintain confidentiality of medicial information.