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This form is required for ETSU employees and affiliates with work-related contact with animals susceptible to rabies. It captures acknowledgment of risks and participation in a rabies vaccination

How to fill out rabies pre-exposure vaccination program

How to fill out Rabies Pre-exposure Vaccination Program Exemption, Acknowledgment, Acceptance/Declination Form

1. Obtain the Rabies Pre-exposure Vaccination Program Exemption Form from an authorized source.
2. Read the instructions carefully before starting to fill out the form.
3. Provide your personal information, including full name, address, and contact details in the designated sections.
4. Indicate the reason for requesting the exemption in the appropriate field.
5. Sign and date the form to acknowledge your understanding and acceptance of the terms outlined.
6. Review the completed form for any errors or missing information.
7. Submit the form to the appropriate authority or organization as instructed.

Who needs Rabies Pre-exposure Vaccination Program Exemption, Acknowledgment, Acceptance/Declination Form?

1. Individuals who may be at risk of rabies exposure through their work or activities.
2. People who have medical conditions or other contraindications that prevent them from receiving the rabies vaccine.
3. Those who participate in activities that expose them to rabies but opt to decline vaccination.

People Also Ask about

Can you get a rabies vaccine before exposure?

In the United States, however, where a single dose of rabies vaccine can exceed $400, cost has been a deterrent to preexposure prophylaxis.

What states have rabies exemptions?

One state (Hawaii) has no laws or regulations that require vaccination on a statewide basis. Nine states only require rabies vaccinations for IMPORTED animals above a certain age (usually 3 months old).

Where can I get a pre-exposure rabies vaccine?

Imovax Rabies is a vaccine indicated for pre-exposure and post-exposure prophylaxis against rabies. Imovax Rabies vaccine is approved for use in all age groups. The following factors should be considered before antirabies prophylaxis is initiated.

What is the rabies pre-exposure vaccine series?

The rabies pre-exposure vaccine series is a three-shot series administered using an initial vaccine (day 0), a second dose at day 7, and the final series dose at day 21 or day 28. These vaccines are received via intramuscular injection in the arm.

Is pre-exposure rabies vaccine covered by insurance?

Don't wait until symptoms appear, because it will be too late. Many health insurance plans cover much of the rabies vaccine cost for humans and an injection of HRIG antibodies if treatment after suspected exposure is required. Pre-exposure rabies vaccine may not be covered by your health plan.

Is pre-exposure rabies vaccine worth it?

What are the advantages of preexposure vaccination? Although PrEP does not eliminate the need for additional vaccination once you are exposed to a rabid animal, it does reduce the number of doses needed.

How much does a preventative rabies vaccine cost?

Rabies vaccines can be ordered by a physician, or you can arrange vaccination through your local or state health department. Insurance coverage varies, so ask your provider whether your policy includes coverage, either full or partial. (AVMA LIFE's basic protection packages do include rabies vaccination benefits.)

For pdfFiller’s FAQs

What is Rabies Pre-exposure Vaccination Program Exemption, Acknowledgment, Acceptance/Declination Form?

The Rabies Pre-exposure Vaccination Program Exemption, Acknowledgment, Acceptance/Declination Form is a document used to declare a person's exemption from receiving rabies pre-exposure vaccinations. It serves to acknowledge the individual's awareness of the risks associated with rabies exposure and outlines their acceptance or declination of the vaccination.

Who is required to file Rabies Pre-exposure Vaccination Program Exemption, Acknowledgment, Acceptance/Declination Form?

Individuals who are at risk of exposure to rabies, such as veterinarians, animal control workers, and certain laboratory personnel, are typically required to file this form if they choose to opt-out of the rabies pre-exposure vaccination.

How to fill out Rabies Pre-exposure Vaccination Program Exemption, Acknowledgment, Acceptance/Declination Form?

To fill out the form, individuals should provide their personal information, indicate their decision regarding vaccination (acceptance or declination), and include any required signatures. It's important to read the instructions carefully and ensure all sections of the form are completed accurately.

What is the purpose of Rabies Pre-exposure Vaccination Program Exemption, Acknowledgment, Acceptance/Declination Form?

The purpose of the form is to formally document an individual's choice regarding rabies pre-exposure vaccination, to acknowledge their understanding of the risks of rabies, and to protect health authorities from liability in case the individual is exposed to rabies after declining the vaccination.

What information must be reported on Rabies Pre-exposure Vaccination Program Exemption, Acknowledgment, Acceptance/Declination Form?

The form must report information including the individual's name, contact details, the reason for declination (if applicable), and a signature confirming acknowledgment of the risks associated with rabies exposure.