1. A formal rejection or denial that has been recorded in writing or other official format as evidence
The patient's documented refusal of treatment was noted in the medical records.
A recusa documentada do paciente em relação ao tratamento foi anotada nos registros médicos.
2. An official record showing that someone has formally declined to accept, participate in, or consent to something
The documented refusal to sign the contract was submitted to the legal department.
A recusa documentada em assinar o contrato foi submetida ao departamento jurídico.