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Ocean View School District 17200 Pankhurst Lane Huntington Beach, CA 92647 Human Resources & Health Services (714) 8472551 MEMORANDUM TO:NEW PERMANENT EMPLOYEE SRE:BLOOD-BORNE PATHOGEN PLAN/HEPATITIS
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How to fill out bloodborne consent waiver form

01
Obtain a copy of the bloodborne consent waiver form.
02
Read through the form carefully to understand the information being requested.
03
Fill out your personal information such as name, address, date of birth, and contact information.
04
Answer any medical history questions honestly and accurately.
05
Sign and date the form to indicate your consent.
06
Return the completed form to the appropriate party as directed.

Who needs bloodborne consent waiver form?

01
Any individual who will be participating in activities or procedures that involve potential exposure to bloodborne pathogens.
02
Healthcare professionals, laboratory workers, first responders, and others in high-risk occupations.
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The bloodborne consent waiver form is a document that allows individuals to waive their right to consent for bloodborne pathogen testing or exposure during certain activities or procedures.
Individuals who are participating in activities or procedures that may expose them to bloodborne pathogens are required to file a bloodborne consent waiver form.
To fill out the bloodborne consent waiver form, individuals must provide their personal information, acknowledge the risks of bloodborne pathogen exposure, and sign the form to indicate their consent or waiver.
The purpose of the bloodborne consent waiver form is to inform individuals of the risks of bloodborne pathogen exposure and allow them to waive their right to consent for testing or treatment in certain situations.
The bloodborne consent waiver form must include the individual's personal information, acknowledgment of the risks involved, and consent or waiver signature.
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