Hepatitis B Vaccine Acceptance Declination Form
Description Hepatitis B Form For Employees
How to fill out Hepatitis B Vaccine Acceptance Declination Form?
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FAQ
If you do not complete the series, you will not have adequate, longterm protection from hepatitis B.
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.
Hepatitis B vaccine should be administered by intramuscular injection. Injection into the buttock is associated with decreased immunogenicity (15--18).
3-Dose Vaccine Series for Children and Adults The vaccine is given at 0, 1 and 6 months. The third dose is needed for complete, long-term protection. If an alternative schedule is considered, ensure that a 4th booster dose is given at 1 year to provide maximum, long term protection.
Recommended doses of hepatitis B by vaccine type, age, formulation, dosage and schedule. The schedule for hepatitis B is flexible, but minimal intervals and minimum ages need to be observed: There should be at least 4 weeks between doses 1 and 2, and at least 8 weeks between doses 2 and 3.
Give a 3-dose series at 0, 1, and 6 mos. 1 dose Give dose #2 at least 4 wks after dose #1 to complete the series. Give dose #2 at least 4 wks after #1; then, give dose #3 at least 8 wks after dose #2 and at least 16 wks after dose #1. 2 doses Give dose #3 at least 8 wks after dose #2 and at least 16 wks after dose #1.
This vaccine is usually given by injection into a muscle (shoulder or thigh) by a health care professional. Injection under the skin may be used if you have a bleeding disorder.
It is important to get vaccinated to protect your health and prevent spreading the disease to others. The hepatitis A and hepatitis B vaccines can be given separately or as a combination vaccine. All the shots in the series are needed for long-term protection.
Hepatitis B vaccination is recommended for healthcare workers who may have direct contact with patients' blood or blood-stained body fluids.
