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Get I Understand That My Exposure To Patients At Hca Healthcare Facilities With The Following Vaccine
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How to fill out the I Understand That My Exposure To Patients At HCA Healthcare Facilities With The Following Vaccine online
Filling out the immunization declination form is a vital step for individuals exposed to patients at HCA healthcare facilities. This guide will provide a step-by-step approach to navigate the form accurately and ensure all necessary information is included.
Follow the steps to complete the immunization declination form online.
- Click ‘Get Form’ button to obtain the form and open it in the editor.
- Review the introduction section of the form, which outlines your understanding of the risks associated with declining vaccinations. Make sure to read carefully to comprehend what you are agreeing to.
- In the vaccine declination section, tick the box next to each vaccine that you choose to decline—such as Varicella, MMR, Tdap, Hepatitis B, or TB.
- For Tdap, if applicable, provide a doctor's note if you are immunosuppressed, as this vaccine cannot be declined if you will be in contact with infants.
- Fill out the TB questionnaire section, providing details such as the date of your last positive TB skin test or titer. Be sure to check Yes or No for any symptoms you may be experiencing.
- If you answered Yes to any symptom, include details about your current treatment with a physician as requested.
- At the end of the document, confirm your understanding of the policies for requesting an exemption and the potential consequences of not complying with the vaccination policy.
- Sign and date the form where indicated. Ensure your printed name, title, company, and phone number are filled in before submitting.
- Once you have completed the form, upload both pages to your HealthTrust EDHP account as instructed.
Complete your immunization declination form online now.
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It typically takes a few weeks for the body to build immunity after vaccination. That means it's possible a person could be infected with the virus that causes COVID-19 just before or just after vaccination and get sick. This is because the vaccine has not had enough time to provide protection.
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