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TITER DECLINATION NAME Please submit titers with proof of immunity for MMR Chicken Pox/Varicella and Hepatitis B. If you have declined to be vaccinated for any of the following items please sign where indicated. MMR SIGNATURE CHICKEN POX/ VARICELLA HEPATITIS B I am aware that in accordance with OSHA recommendation hospitals are requiring a current MMR titer or record of a titer drawn in my profile prior to reporting to work. DATE Varicella titer or record of a titer drawn in my profile prior...
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Step 1: Obtain the titer declination form from EliteCare.
02
Step 2: Fill out all the required personal information such as name, date of birth, and contact details.
03
Step 3: Provide information about the specific titer being requested, including the disease or antigen.
04
Step 4: Indicate the purpose of the titer declination, whether it is for employment, education, or travel.
05
Step 5: Attach any supporting documents or medical records relevant to the titer declination.
06
Step 6: Review the completed form for accuracy and completeness.
07
Step 7: Submit the filled-out titer declination form to EliteCare for processing.

Who needs titer declination - elitecare?

01
Individuals who require proof of their antibody levels to certain diseases may need a titer declination from EliteCare.
02
Employers may request titer declinations as part of their pre-employment medical requirements.
03
Educational institutions may require titer declinations for students in certain programs or fields of study.
04
Travelers may need titer declinations to fulfill visa or entry requirements for specific countries.
05
Any individual seeking to assess their immunity to certain diseases may also opt for a titer declination.
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Titer declination - elitecare is a process where employees decline to receive required titers for certain vaccinations at Elitecare.
Employees at Elitecare who choose not to receive required titers for certain vaccinations are required to file titer declination forms.
To fill out titer declination forms at Elitecare, employees must provide their personal information and indicate their decision to decline the required titers for certain vaccinations.
The purpose of titer declination - elitecare is to document employees' decisions to decline the required titers for certain vaccinations at Elitecare.
The information reported on titer declination forms at Elitecare includes employee's personal details and their decision to decline required titers for certain vaccinations.
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