All of the Following Make Up the Key Elements of Obtaining

All of the following make up the key elements of obtaining an informed refusal EXCEPT one. Which one is the EXCEPTION?

A) The form must be printed
B) The client needs to know the oral and general health implications of the refusal
C) The explanation must be understood by the client
D) The reasons a procedure is recommended as well as the alternatives need to be outlined
E) The refusal form should be signed