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San Francisco State University Environment, Health & SafetyHepatitis B Vaccination Declination / Acceptance Form Please complete the appropriate section below and deliver or email the signed copy

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How to fill out hepatitis b vaccination declination

01

Discuss the risks and benefits of the hepatitis B vaccination with the individual.

02

Provide the individual with a declination form that includes information about the risks of not being vaccinated.

03

Ensure that the individual understands the implications of refusing the vaccination.

04

Have the individual sign and date the declination form.

05

Keep a copy of the signed declination form in the individual's medical record.

Who needs hepatitis b vaccination declination?

01

Individuals who have been informed about the risks and benefits of the hepatitis B vaccination but choose to decline it.

02

Those who may have medical contraindications to receiving the hepatitis B vaccine.

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What is hepatitis b vaccination declination?

Hepatitis B vaccination declination is a formal process where an individual chooses to decline the hepatitis B vaccination for various reasons, often requiring a written declaration.

Who is required to file hepatitis b vaccination declination?

Individuals who are at risk of exposure to hepatitis B virus in their work environment, such as healthcare workers or students in certain healthcare programs, are typically required to file a declination if they choose not to receive the vaccine.

How to fill out hepatitis b vaccination declination?

To fill out a hepatitis B vaccination declination, the individual must complete a designated form that generally includes personal information, acknowledgment of the risks associated with declining the vaccine, and the reason for declination.

What is the purpose of hepatitis b vaccination declination?

The purpose of hepatitis B vaccination declination is to document the decision of an individual to opt out of vaccination, ensuring that they are informed of the potential risks and providing legal protection for employers.

What information must be reported on hepatitis b vaccination declination?

The declination report must include personal information such as the individual's name, signature, date, acknowledgment of the risks of hepatitis B, and the reason for declining the vaccine.

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