Hepatitis b declination form 2025

1. Click ‘Get Form’ to open the hepatitis B declination form in the editor.
2. Begin by reviewing the acceptance section. This outlines your understanding of the risks associated with bloodborne pathogens. If you choose to accept the vaccine, check the box next to 'I ACCEPT Hepatitis B vaccine inoculation.'
3. If you decide to decline the vaccination, check the box next to 'I DECLINE Hepatitis B vaccine inoculation.' Ensure you understand the implications of this decision as stated in the form.
4. Fill in your name and provide your signature in the designated fields. This confirms your choice regarding the vaccination.
5. Enter today's date next to your signature for accurate record-keeping.
6. If required, have a witness sign and date the form as well, ensuring all necessary parties are acknowledged.

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