If there is a judgment against you that has not been satisfied in full, your paycheck from your employer can be garnished as part of the levy process on a judgment even if you refuse to sign any paperwork concerning the garnishment. It is up to your employer to fill out the necessary paperwork concerning an employee's wage garnishment.A medical doctor for whatever reason can refuse to treat you unless it is a medical emergency. Assuming you have not made any payments on this judgment that you are writing about, I suggest that you try and enter into a written monthly payment plan with the judgment creditor in an amount that you can afford.