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1 Hepatitis B Vaccine Declination Form Name ID Number General- I understand that due to my occupational exposure to blood or other potentially infectious materials (OPIUM) that I may be at risk of

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What is hepatitis b vaccine declination?

Hepatitis B vaccine declination is a form or statement indicating that an individual has chosen not to receive the hepatitis B vaccine for medical, religious, or personal reasons.

Who is required to file hepatitis b vaccine declination?

Employees or individuals who are at risk of occupational exposure to blood or other potentially infectious materials are required to file hepatitis B vaccine declination.

How to fill out hepatitis b vaccine declination?

To fill out hepatitis B vaccine declination, individuals need to provide their personal information, reason for declining the vaccine, and signature indicating their refusal to be vaccinated.

What is the purpose of hepatitis b vaccine declination?

The purpose of hepatitis B vaccine declination is to document an individual's decision to decline the vaccine and to ensure compliance with occupational safety regulations.

What information must be reported on hepatitis b vaccine declination?

Hepatitis B vaccine declination must include the individual's name, date of birth, occupation, reason for declining the vaccine, and signature.

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