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                Get Tdap Vaccine Declination Form*
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How to fill out the Tdap Vaccine Declination Form online
The Tdap Vaccine Declination Form is an important document for individuals working in healthcare settings who choose to decline the Tdap vaccine. This guide provides clear steps to help you complete the form online efficiently.
Follow the steps to successfully complete the form online
- Press the ‘Get Form’ button to access the Tdap Vaccine Declination Form and open it in your selected online editor.
- Begin by entering your first and last name in the designated fields at the top of the form. Ensure that both names are spelled correctly for accurate documentation.
- Read through the statement regarding occupational exposure to aerosol transmissible diseases. This section explains the risks associated with declining the vaccine.
- If you understand the risks and choose to decline the vaccination, acknowledge this by checking any required box as specified within the form guidelines.
- Next, provide your signature in the designated area to confirm your decision to decline the vaccine. This serves as legal consent to the declination.
- Finally, input the current date in the format requested on the form, ensuring to follow any specified guidelines for date entry.
- Once you have filled in all required fields, review the form for any errors or missing information. Then proceed to save your changes, download the form, or print it for your records.
Complete your Tdap Vaccine Declination Form online today for a hassle-free experience.
If you decided you want the vaccine, your MinuteClinic provider can administer it. You may be referred to another health care setting if you have a history of allergy or serious reaction to a vaccine. Visit MinuteClinic if you have not had a Td or Tdap shot in the last 10 years.
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