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Influenza Vaccine Declination All health care professionals with occupational exposure to viruses must be offered the influenza vaccinations. You have been determined to be at risk to such viruses.
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How to fill out influenza vaccine declination
01
To fill out an influenza vaccine declination, you will need to follow these steps:
1.1
Obtain the influenza vaccine declination form from your employer, healthcare provider, or the relevant authority.
1.2
Carefully read the instructions provided on the form. It may include specific guidelines or requirements that you need to adhere to.
1.3
Fill in the required personal information, such as your full name, date of birth, and contact details. Ensure the accuracy of this information.
1.4
Provide the reason for declining the influenza vaccine. This may include medical, religious, or personal beliefs. Make sure to articulate your reason clearly.
1.5
Sign and date the declination form. Your signature verifies that the information provided is accurate and that you have made an informed decision to decline the vaccine.
1.6
Submit the completed form according to the instructions provided. This may involve returning it to your employer, healthcare provider, or the relevant authority.
02
Influenza vaccine declination is typically required for individuals who, for various reasons, choose not to receive the influenza vaccine. This may include:
2.1
Individuals with a medical condition or allergy that prevents them from safely receiving the influenza vaccine. This could include severe allergic reactions to certain vaccine components or immunodeficiency disorders.
2.2
Individuals who hold religious beliefs that prohibit them from taking vaccines. Some religions have specific tenets or teachings regarding medical interventions.
2.3
Individuals who have personal beliefs or philosophies that lead them to refuse vaccines. These individuals may have concerns about vaccine safety, efficacy, or prefer alternative methods for preventing the flu.
2.4
In certain situations, individuals who have already previously received the influenza vaccine for the current flu season may also need to fill out a declination form. This might occur if they are required to provide proof of vaccination status but cannot receive an additional dose due to medical reasons or other circumstances.
Please note that the specific requirements for influenza vaccine declination may vary depending on your jurisdiction, employer, or healthcare provider. It is always advisable to consult the relevant guidelines or seek advice from a healthcare professional if you have any doubt or questions.
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