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CAMPUS FACILITIES Hepatitis B Vaccine understand that due to my occupational exposure to blood or other potentially infectious materials I may be at risk of acquiring hepatitis B virus (HBO) infection.

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How to fill out hepatitis b declination

01

Review the hepatitis B declination form provided by your healthcare facility or employer.

02

Complete the required personal information such as your name, date of birth, and job title.

03

Read and understand the risks and benefits of the hepatitis B vaccination.

04

Indicate your decision to decline the hepatitis B vaccination by signing and dating the declination form.

05

Submit the completed declination form to the appropriate personnel within your healthcare facility or employer.

Who needs hepatitis b declination?

01

Individuals who have been informed about the risks and benefits of the hepatitis B vaccination.

02

Individuals who have made an informed decision to decline the hepatitis B vaccination.

03

Healthcare workers or employees who are at risk of occupational exposure to hepatitis B.

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What is hepatitis b declination?

Hepatitis B declination is a document that allows employees to formally refuse the hepatitis B vaccination offered by their employer, outlining their decision and acknowledging the risks associated with not getting vaccinated.

Who is required to file hepatitis b declination?

Employees who are offered the hepatitis B vaccination but choose not to receive it are required to file a hepatitis B declination.

How to fill out hepatitis b declination?

To fill out the hepatitis B declination, employees must complete the designated form provided by their employer, which generally includes their personal information, a statement of declination, and a signature.

What is the purpose of hepatitis b declination?

The purpose of hepatitis B declination is to document an employee's choice to decline vaccination, ensuring that they understand the risks and that the employer is complying with occupational safety regulations.

What information must be reported on hepatitis b declination?

The hepatitis B declination must include the employee's name, date, a statement expressing the declination to receive the vaccine, and the signature of the employee.

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