A Competent Adult Patient with Chest Pain Is Refusing All

A competent adult patient with chest pain is refusing all treatment. Which one of the following indicates the EMT's most appropriate response?

A) "I will need to have you sign this refusal form and a family member sign as a witness."
B) "Before you refuse, I need to tell you that this could be a heart attack and you could die."
C) "Since you are competent and rational, it is your right to refuse. Please sign this refusal form."
D) "I am sorry, but since 911 was called, we must transport you to the hospital. You can refuse treatment there."