Declination Letter For Flu Shot Force

Category:

Letters - Nonlegal - Declination

State:

Multi-State

Control #:

US-0400LR

Format:

Instant download

Description

The Declination Letter for Flu Shot Force serves as a formal rejection of a mandate for employees to receive a flu shot. This document outlines the decision-making process behind the declination, allowing individuals to clearly express their choice not to participate under specific circumstances. Key features include customizable sections for personal details and a structured format that encourages straightforward communication. The form is designed to be filled out and edited easily, requiring users to input accurate information before sending it to relevant parties. The Declination Letter is particularly useful for individuals concerned about medical privacy, personal beliefs, or health-related issues regarding vaccinations. Targeted to professionals such as attorneys, partners, owners, associates, paralegals, and legal assistants, this form enhances workplace policy compliance while respecting individual rights. Its clear and concise language ensures that users, regardless of legal expertise, can effectively navigate and utilize the document. This letter may also be referenced in disputes or discussions about workplace health policies.

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FAQ

I understand that I cannot get influenza from the influenza vaccine. my health and the health of those with whom I have contact, including all patients in this healthcare facility, coworkers, my family and my community. procedure masks in areas where patients or residents may be present during the influenza season.

People who SHOULD NOT get a flu shot include: Children younger than 6 months of age are too young to get a flu shot. People with severe, life-threatening allergies to any ingredient in a vaccine, including flu vaccine (other than egg proteins), should not get that vaccine.

? My philosophical or religious beliefs prohibit vaccination. ? I have an allergy or medical contraindication to receiving the vaccine. ? I do not wish to say why I decline. ? Other reason ? please tell us.__________________________________________________

Reasons for Refusing the Flu Vaccine ?I do not need the vaccination? (17.3%) ?I might experience side effects or get sick from the vaccine? (12.2%) ?I don't think the vaccination is effective in preventing flu? (11.8%).