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Names INFLUENZA VACCINE DECLINATION WORKFORCE HEALTH & Acetylate of BirthEmployee IDDepartmentTitleTel:Date: Time: AM/Immunization against the flu has been identified as an important patient safety
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Whamps influenza vaccine declination is a form used to indicate that an individual has declined to receive the influenza vaccine.
Any individual who does not wish to receive the influenza vaccine is required to file whamps influenza vaccine declination.
To fill out whamps influenza vaccine declination, simply provide your personal information and indicate your decision to decline the influenza vaccine.
The purpose of whamps influenza vaccine declination is to document an individual's decision to decline the influenza vaccine.
On whamps influenza vaccine declination, you must report your personal information and provide your signature to confirm your decision.
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