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20222023 FLU SHOT CAMPAIGN MEDICAL DECLINATION FOR FLU VACCINATION INSTRUCTIONS: With this form, you are requesting a Medical Waiver for this year's seasonal influenza vaccination. Answer the following
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How to fill out 2022-23 flu medical declination

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How to fill out 2022-23 flu medical declination

01
Step 1: Obtain the 2022-23 flu medical declination form from your employer or healthcare provider.
02
Step 2: Read the instructions carefully to understand the information required on the form.
03
Step 3: Fill out your personal information, including your name, date of birth, and contact information.
04
Step 4: Indicate whether you are accepting or declining the flu vaccination for the 2022-23 season.
05
Step 5: Sign and date the form to certify that the information provided is accurate and complete.
06
Step 6: Submit the completed form to the appropriate party as instructed.

Who needs 2022-23 flu medical declination?

01
Anyone who is eligible for the flu vaccination for the 2022-23 season but chooses to decline it.
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The 23 flu medical declination is a form that allows individuals to formally decline receiving the influenza vaccine for specific medical reasons.
Individuals who are mandated by their employer or institution to receive the flu vaccine but have valid medical reasons for declining need to file the 23 flu medical declination.
To fill out the 23 flu medical declination, individuals should provide their personal information, state their medical reasons for declining the vaccine, and sign the form, possibly under the guidance of a healthcare professional.
The purpose of the 23 flu medical declination is to document an individual's decision to decline the flu vaccine due to medical contraindications, ensuring compliance with workplace or institutional health policies.
The declination must report the individual's name, the specific medical reasons for declining the flu vaccine, and any relevant healthcare provider information.
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