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Medical declination form

Medical declination form 2026

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The document outlines the Occupational Health and Safety Program (OHSP) at Oklahoma State University, designed to ensure a safe workplace for employees involved with animals in research, teaching, and testing. It includes a declination form allowing employees to opt out of certain program components, such as completing a medical questionnaire or participating in risk assessments and examinations, while acknowledging the potential health risks of declining participation.

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Click ‘Get Form’ to open the medical declination form in the editor.
Begin by entering your name and CWID (Campus Wide ID) in the designated fields at the top of the form. Ensure that your information is accurate for proper identification.
Read through the purpose of the Occupational Health and Safety Program (OHSP) carefully. This section outlines your rights and responsibilities regarding occupational exposure.
In the Declination Statement, review each item you may decline. You will need to initial beside each item—completing a medical questionnaire, participating in a risk assessment, and participating in a medical examination—to indicate your decision.
Sign and date the form at the bottom. Your signature confirms that you understand the implications of declining participation in any part of the OHSP.

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