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Hepatitis Declination  Form

Hepatitis Declination Form

Use a hepatitis form 0 template to make your document workflow more streamlined.

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. 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...
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