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20162017 Influenza Vaccination Attestation/Declination Form OSU recommends I receive influenza vaccination to protect the patients OSU serves. I attest that I have already received the influenza vaccination
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The influenza vaccination attestation/declination form is a document where individuals can confirm whether they have received the influenza vaccine or declined to take it.
All employees and individuals within certain organizations or industries may be required to file the influenza vaccination attestation/declination form.
To fill out the influenza vaccination attestation/declination form, individuals must indicate whether they have received the influenza vaccine or have chosen to decline it, providing any necessary personal information.
The purpose of the influenza vaccination attestation/declination form is to track and document the vaccination status of individuals within a specific group or organization.
The information reported on the influenza vaccination attestation/declination form typically includes the individual's name, contact information, vaccination status, and any relevant reasons for declining the vaccine.
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