Get the free Flu Declination Form - Columbia State Community College
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Flu Declination Form www.columbiastate.edu Phone: (931) 5402849 Fax: (931) 5604103 I understand that I might be at risk of getting influenza, and it is recommended that I receive influenza vaccination
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How to fill out flu declination form
How to fill out a flu declination form:
01
Read the form carefully: Take the time to go through the entire form and understand all the sections and information required.
02
Fill in your personal details: Start by providing your full name, date of birth, and contact information. Make sure to write legibly and accurately to avoid any confusion.
03
Choose your declination option: Depending on the form, you may be given options such as accepting or declining the flu vaccine. Select the appropriate option based on your choice.
04
Sign and date the form: Once you have reviewed and filled out all the necessary sections, sign and date the form using your full legal signature. This demonstrates your consent or declination of the flu vaccine.
05
Submit the form: Follow the instructions provided on the form to submit it appropriately. This could involve handing it in at a specific location, mailing it, or submitting it online.
Who needs a flu declination form:
01
Healthcare workers: In many healthcare settings, employees are required to receive the flu vaccine. However, some individuals may be eligible for a declination form if they have a legitimate medical exemption or hold strong religious beliefs.
02
Students and educational institutions: Some schools, colleges, and universities may require students and faculty to receive the flu vaccine. In certain cases, individuals can request a declination form if they have valid reasons such as medical contraindications or religious objections.
03
Workplace organizations: Employers may mandate the flu vaccine for their employees, especially in jobs where individuals work closely with vulnerable populations. However, individuals can request a declination form if they have legitimate medical reasons or religious beliefs that prevent them from taking the vaccine.
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