Get Flu Vaccine Declination Form - Medical University Of South Carolina - Academicdepartments Musc
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How to fill out the Flu Vaccine Declination Form - Medical University Of South Carolina - Academicdepartments Musc online
The Flu Vaccine Declination Form is essential for individuals who choose not to receive the influenza vaccine for specific reasons. This guide provides clear, step-by-step instructions to assist users in completing the form accurately and efficiently online.
Follow the steps to fill out the Flu Vaccine Declination Form online.
- Press the ‘Get Form’ button to obtain the Flu Vaccine Declination Form and access it in the online editor.
- Fill in your last name, first name, and middle initial in the designated fields to clearly identify yourself.
- Enter your birthdate in the format requested to verify your age and eligibility.
- Provide your contact number, ensuring it is accurate for any follow-up communication.
- Indicate the college you are affiliated with by selecting from the provided options: Medicine, Dental, Pharmacy, Health Professions, Nursing, or Graduate Studies.
- Confirm that you have read and understood the Vaccine Information Sheet by marking the relevant statement.
- Select the reason for declining the vaccine, checking all applicable options to clearly express your decision.
- Sign the form with your name to affirm your decision, and date the form accurately.
- If applicable, ensure that a licensed physician, NP, or PA certifies any medical contraindications you have by completing their section.
- Save your changes, then download or print the completed form for your records. If needed, share it with relevant parties.
Complete the Flu Vaccine Declination Form online today to ensure your healthcare preferences are respected.
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A declination document is a written record that states an individual's decision to decline a vaccine. The Flu Vaccine Declination Form - Medical University Of South Carolina - Academicdepartments Musc serves as an official declination document. By submitting this document, you provide clear communication about your vaccination status, which is crucial for workplace and health compliance.
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