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Get Waiver For Immunizations Form

(HBV) infections. I understand that I must either provide evidence of immunization (3 injection series) or sign this waiver releasing the University and clinical agencies from any responsibility should I contract Hepatitis B. I release Southeastern Louisiana University or any agency in which I attend internship experiences of any responsibility for any consequences of this decision. Name W number Signature Date Witness Date.

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Keywords relevant to Waiver For Immunizations Form

  • acquiring
  • infections
  • waiver
  • INFECTIOUS
  • Occupational
  • hepatitis
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