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Hepatitis B Vaccine Declination I ___ understand that, due to my occupational exposure to blood or other potentially infectious materials (OPIM) I may be at risk of acquiring hepatitis B virus (HBV)
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How to fill out hepatitis b vaccine declination
How to fill out hepatitis b vaccine declination
01
Talk to your healthcare provider about the risks and benefits of the hepatitis B vaccine.
02
Fill out the hepatitis B vaccine declination form completely and accurately.
03
Sign and date the form to indicate that you are declining the vaccine.
04
Return the completed form to your healthcare provider for their records.
Who needs hepatitis b vaccine declination?
01
Individuals who have been informed about the risks and benefits of the hepatitis B vaccine and have decided to decline it.
02
People who have medical contraindications or personal beliefs that prevent them from getting the vaccine.
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What is hepatitis b vaccine declination?
Hepatitis B vaccine declination is the act of refusing to receive the hepatitis B vaccine.
Who is required to file hepatitis b vaccine declination?
Individuals who are eligible to receive the hepatitis B vaccine but choose not to must file hepatitis B vaccine declination.
How to fill out hepatitis b vaccine declination?
Hepatitis B vaccine declination can be filled out by indicating the reason for refusal and signing the form.
What is the purpose of hepatitis b vaccine declination?
The purpose of hepatitis B vaccine declination is to document the individual's decision to refuse the vaccine.
What information must be reported on hepatitis b vaccine declination?
Hepatitis B vaccine declination must include the individual's name, reason for refusal, and signature.
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