Get Osha/hepatitis B Vaccination Status Form - Medical Express

Filling out the OSHA/Hepatitis B Vaccination Status Form is a critical step for individuals who may be exposed to bloodborne pathogens in the workplace. This guide will help you navigate the online process of completing this important form, ensuring you provide all required information accurately.

Follow the steps to complete the form successfully.

1. Click the ‘Get Form’ button to access the OSHA/Hepatitis B Vaccination Status Form and open it for completion.
2. In the designated field, print your name clearly. This is necessary for identifying you as the individual filling out the form.
3. Read the safety manual, specifically the section on bloodborne pathogens, before signing. This acknowledgment is essential for ensuring you understand the vaccination options available to you.
4. Indicate your vaccination status by providing the dates of your Hepatitis B vaccination series injections in the specified fields. If less than three dates are present, ensure to clarify your vaccination series status.
5. If applicable, attach a receipt or invoice for all vaccinations you received while under a company payroll assignment. This documentation is necessary for reimbursement or direct payment requests.
6. Select one of the options regarding payment: either request reimbursement or ask to have the healthcare provider paid directly. Check the appropriate box.
7. If you have attached medical documentation of your vaccination series or have provided it previously, ensure to mention this clearly on the form.
8. If you have undergone antibody testing that shows immunity, make sure to attach that medical documentation with your form for records.
9. Sign and date the form in the specified fields to certify your acknowledgment and agreement to the details provided herein.
10. Once completed, save your changes, download a copy for your records, or print the form before submitting it to your Quality Management Specialist.

Make sure to complete the OSHA/Hepatitis B Vaccination Status Form online to ensure you are properly documented and covered.