hca covid vaccine exemption Preview on Page 1

I understand that my exposure to patients at HCA healthcare facilities with the following vaccine preventable 2026

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How to use or fill out I understand that my exposure to patients at HCA healthcare facilities with the following vaccine preventable

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by reviewing the statement regarding your exposure to vaccine-preventable diseases. This section outlines your understanding of the risks involved.
  3. In the checkbox section, select the vaccines you are declining. Ensure you check all applicable boxes for Varicella, MMR, Tdap, Hepatitis B, and TB.
  4. Complete the TB Questionnaire by answering 'Yes' or 'No' to each symptom listed. If you answer 'Yes' to any question, provide an explanation in the designated area.
  5. Sign and date the form at the bottom. Include your printed name, title, company, and phone number as required.
  6. Finally, upload both pages of the completed form to your HealthTrust EDHP account as instructed.

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Influenza Vaccination of the Health Care Workforce

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