Tool: Form for Employees to Sign When They Decline an Influenza Vaccine
Tool: Form for Employees to Sign When They Decline an Influenza Vaccine
Date posted:
February 23, 2023
Last reviewed:
January 11, 2024
Immunize.org formerly Immunization Action Coalition (IAC)
Tool for healthcare providers documents that facility staff decline an influenza vaccination. The form prompts individuals to formally acknowledge awareness of the severity and dangers of the flu to themselves and others. For information on why CDC recommends that healthcare providers consider obtaining a signed declination see: Ask the Experts | immunize.org.
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