why should there be a problem... the patient did not want to go to the hospital... at least here in Austria we can not force them... If we think the patient is not in a situation so make this choice, eg when the patient is drunk, we call the police, they call their doctor, the doctor desides. If the patient still makes troubles, the police joins us on our way to hospital. If we believe that the patients able to see the consequences of his choice, we do as the patient wishes. We just need a signature for legal issues.