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APPENDIX I HEPATITIS B VACCINATION DECLINATION FORM Bowling Green State University I understand that due to my occupational exposure to blood or other potentially infectious materials I may be at.

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How to fill out the Hepatitis B Vaccine Documentation Form online

Filling out the Hepatitis B Vaccine Documentation Form online is a straightforward process. This guide will walk you through each section and field of the form, ensuring you have all the necessary information to complete it accurately.

Follow the steps to complete the Hepatitis B Vaccine Documentation Form online.

  1. Click ‘Get Form’ button to access the Hepatitis B Vaccine Documentation Form and open it in your preferred editor.
  2. Begin by entering your full printed name in the designated field labeled 'Employee Name'. Ensure all details are accurate to avoid any complications later.
  3. Proceed to the 'Employee Signature' section where you will sign using your digital signature or by typing your name, confirming your decline of the Hepatitis B vaccination.
  4. Input your 'Employee ID Number' in the specified area to help identify your record accurately.
  5. Fill out your 'Regular Work Assignment' to provide context for your potential exposure to the Hepatitis B virus.
  6. Enter the date of completion in the appropriately labeled section to document when the form was filled out.
  7. The 'Director' section may require a signature or print name; consult your organization’s guidelines for whether this step is necessary.
  8. Finally, review your entries for accuracy. Once everything is correctly filled out, you can choose to save your changes, download, print, or share the completed form as needed.

Complete the Hepatitis B Vaccine Documentation Form online to ensure you have the necessary documentation for your health records.

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OSHA's Bloodborne Pathogens Standard requires that employers offer the hepatitis B vaccination series to any employee who is reasonably anticipated to have exposure to blood or other potentially infectious materials. The offer must be made within 10 days of employment and at no cost to the employee.

As a general rule, people have a right to keep their health information private, including information about their hepatitis C infection. Generally, they do not have to disclose health information to other people unless they choose to do so.

The estimated carrier life expectancy is 71.8 years, as compared to 76.2 years among noncarriers (Figure 5). These results are consistent with other estimates, which indicate that 15% to 40% of HBV carriers die of liver complications.

Anyone who lives with or is close to someone who has been diagnosed with chronic Hepatitis B should get tested. Hepatitis B can be a serious illness, and the virus can be spread from an infected person to other family and household members, caregivers, and sexual partners.

A nurse or other trained health professional will give you this vaccine. This vaccine is given as a shot into one of your muscles. If you have bleeding problems such as hemophilia, the vaccine may be given as a shot under your skin.

Immunization Connect Ontario (ICON) Online System You can now submit, view and/or get your current immunization record online. Keep track of immunizations by reporting them to your local public health unit through this system.

The vaccine contains one of the viral envelope proteins, Hepatitis B surface antigen (HBsAg). It is produced by yeast cells, into which the gene for HBsAg has been inserted. Afterward an immune system antibody to HBsAg is established in the bloodstream. The antibody is known as anti-HBs.

Check with previous employers (including the military) that may have required immunizations. Check with your doctor or public health clinic. Keep in mind that vaccination records are maintained at doctor's office for a limited number of years. Contact your state's health department.

The recommended schedule for the hepatitis B vaccine is to receive the first shot, followed in one month by the second shot. Six months following the first shot, you should receive your third and final shot of the series.

Can an employer withdraw a job offer after they learn I have hepatitis B? No, because the majority of people with hepatitis B are healthy, productive and able to perform their jobs. Unless you have severe liver disease, hepatitis B does not impair your ability to be a teacher, nurse, doctor or home health aide.

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