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The University of Texas at Tyler HEPATITIS B VACCINATION CONSENT OR DECLINATION FORM Full Name: TT EID:Date of Birth:I understand that due to my potential occupational exposure to blood or other potentially infectious

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How to fill out hepatitis b vaccination consent

01

Obtain the hepatitis b vaccination consent form from the appropriate source, such as a healthcare provider or clinic.

02

Read the consent form carefully and make sure you understand all the information provided.

03

Fill in your personal information accurately, including your name, date of birth, and contact information.

04

Provide any relevant medical history, such as previous vaccinations or allergies.

05

Sign and date the consent form to indicate your agreement to receive the hepatitis b vaccination.

06

If required, have a witness sign the form as well.

07

Return the completed consent form to the healthcare provider or clinic before receiving the vaccination.

Who needs hepatitis b vaccination consent?

01

Anyone who is planning to receive the hepatitis b vaccination needs to fill out the hepatitis b vaccination consent form. This form ensures that the individual understands the benefits and potential risks of the vaccination and gives their informed consent to proceed.

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