Louisiana Hepatitis B Vaccine Acceptance Declination Form

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Multi-State
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US-0509BG
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The Occupational Safety and Health Act was passed to insure that employees have a safe place at which to work. The Occupational Safety and Health Administration, known as OSHA, was formed to enforce this Act. Completion of this form is a requirement of O

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FAQ

To find out if you've been vaccinated for hepatitis B, you can check your medical records or contact your healthcare provider. They can provide you with your vaccination history. If you cannot obtain that information, consider getting a blood test to determine your immunity status. Knowing your vaccination status is important for your health and safety.

All babies should get the first shot of hepatitis B vaccine within 24 hours of birth. This shot reduces the risk of your baby getting the disease from you or family members who may not know they are infected with hepatitis B.

It is recommended that your baby is given a dose of hepatitis B vaccine at birth or within the first 7 days of life, followed by a further three doses of hepatitis B vaccine at 6 weeks, 4 months and 6 months of age. Extensive experience shows that hepatitis B vaccine is safe and well tolerated by newborn babies.

If an employee initially declines the vaccination, and then decides to have it, the employer must pay for the initial vaccination series and post-vaccination testing, and second vaccination series and testing, if necessary.

For instance, sometimes the hepatitis B vaccination is delayed if a baby is premature, has a low birth weight, or is medically challenged. Still, parents always have the option to refuse a vaccination if they want to. But the risks associated with a hepatitis B infection far outweigh the risks of the vaccine.

Employers must ensure that workers who decline vaccination sign a declination form. The purpose of this is to encourage greater participation in the vaccination program by stating that a worker declin- ing the vaccination remains at risk of acquiring hepatitis B.

It is also possible that a person who does not respond to the vaccine may already be infected with hepatitis B. Therefore, testing for the presence of the hepatitis B virus (hepatitis B surface antigen or HBsAg) is recommended before diagnosing a person as a "vaccine non-responder."

I Decline the Hepatitis B Vaccination I have been given the opportunity to be vaccinated with hepatitis B vaccine, at no charge to myself. However, I decline hepatitis B vaccination at this time. I understand that by declining this vaccine, I continue to be at risk of acquiring hepatitis B, a serious disease.

The main risk of the baby not getting the vaccine is that they may contract the hepatitis B virus. Hepatitis B primarily attacks the liver, causing inflammation that can damage this organ over time. An acute infection lasts for less than 6 months and may cause no symptoms in some people.

People who are non-responders after receiving the booster should be tested for hepatitis B virus infection. If negative, they are recommended to receive 2 more doses of hepatitis B vaccine 1 month apart. Count the 4th booster dose as the 1st of the 3 repeat doses.

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Louisiana Hepatitis B Vaccine Acceptance Declination Form