Mississippi Hepatitis B Vaccine Acceptance Declination Form

State:
Multi-State
Control #:
US-0509BG
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Description

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

Yes, in many cases, employers are required to offer the hepatitis B vaccine to their employees, especially those working in healthcare or similar fields. This offering ensures a safe work environment and helps prevent the spread of the virus. If you need documentation regarding vaccine acceptance or declination, the Mississippi Hepatitis B Vaccine Acceptance Declination Form can be a useful tool.

If an employee who has previously declined the hepatitis B vaccine later decides to receive it, they can do so at any time. They may need to inform their employer to ensure proper health records are updated. Making this choice does not require filling out the Mississippi Hepatitis B Vaccine Acceptance Declination Form again.

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.

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.

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."

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.

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.

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Mississippi Hepatitis B Vaccine Acceptance Declination Form