Get I Understand That Receiving The Influenza Vaccine Will Help Protect The Patients I Care For From

Filling out the form 'I Understand That Receiving The Influenza Vaccine Will Help Protect The Patients I Care For From' is a crucial step for healthcare workers. This guide provides a clear and straightforward approach to completing the form online, ensuring you understand all necessary components.

Follow the steps to complete the form accurately and efficiently.

1. Click the 'Get Form' button to access the document and open it for editing.
2. Review the introductory statement on the form. This section emphasizes the significance of receiving the influenza vaccine for protecting patients. Acknowledge your understanding of this statement before proceeding.
3. In the initial section titled 'Initial Reason,' you will find several statements regarding reasons for declining vaccination. Please read through these carefully.
4. Mark your reason for declining the vaccination by placing your initials next to the selected statement(s). Each statement addresses common concerns relating to vaccine safety, personal health risk factors, and beliefs about vaccination.
5. If your reason for not being vaccinated is not listed, you can select 'I have another reason.' You will then need to provide an explanation in the space provided.
6. At the bottom of the form, you will find a Signature line. Sign your name to confirm that you have reviewed and understood the educational materials regarding the vaccination.
7. Next to the Signature, add the date on which you are filling out the form. This is important for record-keeping purposes.
8. After filling out the form, you can save your changes and then choose to download, print, or share the completed document as needed.

Complete your documentation online today to ensure the safety of the patients you care for.