HEPATITIS B VIRUS ACCEPTANCE OR DECLINATION FORM 2025

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A hepatitis B declination form is a form your employer may give you to offer you the hepatitis B vaccine option due to the occupational risk of exposure to the virus.
Of all respondents, 403 (54.8%) stated that they had never received the hepatitis B vaccine, of which 29.8% stated that they had not been previously vaccinated because of mistrust, 9.4% because their parents refused to have them vaccinated, 25.9% because they were never offered the vaccination, 16.4% because they did
Employers must ensure that workers who decline vaccination sign a declination form. The purpose of this is to encourage greater participation in the vaccination program by stating that a worker declin- ing the vaccination remains at risk of acquiring hepatitis B.
If you are diagnosed with hepatitis B, see your doctor to determine the best treatment for you. It will depend on a few factors, like whether you have early or long-term infection, the health of your liver, and what medications are available.
Employees may decline HBV vaccination. If declined, the employee must sign an HBV Declination Form (Appendix E).
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