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Hepatitis b declination form print out

Hepatitis b declination form print out 2025

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The document is a training and vaccination form from the University of New Hampshire regarding Bloodborne Pathogen Exposure Control. It requires individuals to acknowledge their training on risks associated with human blood and potentially infectious materials, and to indicate their choice regarding the Hepatitis B vaccination—either acceptance or declination. The form emphasizes the risks of Hepatitis B infection for those exposed to such materials and outlines the option for free vaccination.

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What does declination form mean?

Declination form means the form that is signed by and collected from Clients who decline voter registration services. A Client refusing to sign the Voter Registration Form is also a Declination.

Why do people refuse the Hep B vaccine?

The Advisory Committee on Immunization Practices (ACIP) recommends hepatitis B (HepB) vaccination among all infants at birth, unvaccinated children younger than 19 years of age, adults aged 1959 years, and adults aged 60 years and older with risk factors for hepatitis B or without identified risk factors but seeking

What is the OSHA statement for hepatitis B declination?

I understand that due to my occupational exposure to blood or other potentially infectious materials I may be at risk of acquiring hepatitis B virus (HBV) infection. I have been given the opportunity to be vaccinated with hepatitis B vaccine, at no charge to me; however, I decline hepatitis B vaccination at this time.

What is the short form of hepatitis B vaccine?

Employees may decline HBV vaccination. If declined, the employee must sign an HBV Declination Form (Appendix E).

What is a declination form for the hepatitis B vaccine?

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.

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