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Yale University Patient and Human Research Subject Facing Staff Influenza Vaccination Medical or Religious Waiver Forename: ___Birth date (Month/Day/Year): ___/___/___ (Please print clearly)Department:Net
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How to fill out flu vaccine exemption

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How to fill out flu vaccine exemption form

01
Obtain a flu vaccine exemption form from the appropriate authority.
02
Fill out your personal information including name, address, and contact information.
03
Provide a valid reason for why you are seeking an exemption from the flu vaccine.
04
Submit the completed form to the designated individual or department for review.

Who needs flu vaccine exemption form?

01
Individuals who have a valid medical reason for not being able to receive the flu vaccine may need to fill out a flu vaccine exemption form.
02
Some workplaces or schools may also require employees or students to fill out a flu vaccine exemption form if they are unable to receive the vaccine for medical or other reasons.

What is Flu Vaccine Exemption - Students - Yale Health - yalehealth yale Form?

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Flu Vaccine Exemption - Students - Yale Health - yalehealth yale template instructions

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The flu vaccine exemption form is a document that allows individuals to request an exemption from getting the flu vaccine.
Individuals who cannot get the flu vaccine for medical, religious, or personal reasons are required to file a flu vaccine exemption form.
To fill out the flu vaccine exemption form, individuals must provide their personal information, reason for exemption, and any supporting documentation.
The purpose of the flu vaccine exemption form is to allow individuals to request an exemption from getting the flu vaccine.
The flu vaccine exemption form must include personal information, reason for exemption, and any supporting documentation.
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