Get the free Hepatitis B Declination - Risk Management and Safety - California ... - ehis fullerton
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(657 2787233/ Fax (657 2788240 HTTP://EHS.Fullerton.edu HEPATITIS B VACCINE DECLINATION California State University, Fullerton, is required by law to assure that employees who decline to accept the
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How to fill out hepatitis b declination
How to fill out hepatitis B declination:
01
Obtain the hepatitis B declination form from your healthcare provider or employer. This form is usually provided when you are required to receive the hepatitis B vaccination.
02
Read the form carefully to understand the information it requires and the purpose of the declination.
03
Fill out your personal information, such as your name, date of birth, and contact information, in the designated fields.
04
Provide your reason for declining the hepatitis B vaccination. This could include medical reasons, previous vaccination, or personal beliefs.
05
Date and sign the declination form, indicating that you understand the risks associated with declining the hepatitis B vaccination and that you take responsibility for your decision.
06
Return the completed form to your healthcare provider or employer as per their instructions.
Who needs hepatitis B declination:
01
Healthcare workers: Medical professionals, nurses, doctors, and other healthcare staff may require a hepatitis B declination form if they choose not to receive the hepatitis B vaccination due to personal or medical reasons.
02
Students: Certain educational institutions, particularly those in the healthcare field, may require students to fill out a hepatitis B declination form if they decline the vaccination.
03
Employees in high-risk settings: Individuals working in high-risk settings such as laboratories, blood banks, or handling bodily fluids may be asked to complete a hepatitis B declination form if they choose not to receive the vaccination.
Note: It is crucial to consult with your healthcare provider or employer to understand if you need a hepatitis B declination form and to follow any specific instructions they provide.
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What is hepatitis b declination?
Hepatitis B declination is a form that allows individuals to refuse the hepatitis B vaccine.
Who is required to file hepatitis b declination?
Employees who are offered the hepatitis B vaccine as part of their occupational health requirements.
How to fill out hepatitis b declination?
Employees can fill out the hepatitis B declination form provided by their employer, indicating their decision to refuse the vaccine.
What is the purpose of hepatitis b declination?
The purpose of hepatitis B declination is to allow individuals to make an informed decision about receiving the vaccine based on their personal beliefs or medical history.
What information must be reported on hepatitis b declination?
The hepatitis B declination form typically requires basic information such as name, date, and reason for refusal.
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