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Get Hep B Declination

I have been given the opportunity to be vaccinated with hepatitis B vaccine, at no charge to myself. However, I decline hepatitis B vaccine at this time. I understand that by declining this vaccine, I continue to be at risk of acquiring hepatitis B, a serious disease. If in the future I continue to have occupational exposure to blood or other potentially infectious materials and I want to be vaccinated with hepatitis B vaccine, I can receive this vaccine series at no charge to me. ____________.

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The tips below will help you fill in Hepatitis B Vaccine Declination Form easily and quickly:

  1. Open the template in the full-fledged online editor by hitting Get form.
  2. Fill out the requested boxes which are yellow-colored.
  3. Press the green arrow with the inscription Next to move on from one field to another.
  4. Go to the e-signature solution to e-sign the form.
  5. Insert the date.
  6. Look through the entire template to make sure you haven?t skipped anything important.
  7. Press Done and download the new form.

Our solution enables you to take the entire procedure of submitting legal papers online. Due to this, you save hours (if not days or weeks) and get rid of unnecessary expenses. From now on, fill in Hepatitis B Vaccine Declination Form from home, place of work, and even while on the go.

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