TITLE 77: PUBLIC HEALTH
CHAPTER I: DEPARTMENT OF PUBLIC HEALTH
SUBCHAPTER u: MISCELLANEOUS PROGRAMS AND SERVICES
PART 956 HEALTH CARE EMPLOYEE VACCINATION CODE
SECTION 956.APPENDIX A SAMPLE DECLINATION FORM



Section 956.APPENDIX A Sample Declination Form

 

1. _____ (Initial) I have read the "Influenza Vaccine Information Statement, date XXXX". I have had an opportunity to ask questions, which were answered to my satisfaction. I understand the benefits and risks of influenza vaccine.

 

Print Name

 

Department

 

 

I intend to be vaccinated.

 

2. _____ (Initial) I have already had an influenza vaccination this year.

 

Location where vaccinated

 

Date vaccinated

 

 

3. I acknowledge that I am aware of the following facts:

 

Influenza is a serious respiratory disease that kills, on average, 36,000 Americans every year.

 

Influenza virus may be shed for up to 48 hours before symptoms begin, allowing transmission to others.

 

Up to 30% of people with influenza have no symptoms, allowing transmission to others.

 

Influenza virus changes often, making annual vaccination necessary. Immunity following vaccination is strongest for 2 to 6 months.

 

I understand that influenza vaccine cannot transmit influenza. It does not, however, prevent all disease.

 

I have declined to receive the influenza vaccine for the ______ season. I acknowledge that influenza vaccination is recommended by the Centers for Disease Control and Prevention (CDC) for all health care employees to prevent infection from and transmission of influenza and its complications, including death, to patients/residents/clients, my co-workers, my family and my community.

 

4. I decline the offer of vaccination for the following reasons (please initial all that apply):

 

 

 

My philosophical or religious beliefs prohibit vaccination.

 

 

I have a medical contraindication to receiving the vaccine.

 

 

Other reason

 

 

 

I do not wish to say why I decline.

 

5. Knowing the facts set forth above, I choose to decline vaccination at this time. I may change my mind and accept vaccination later, if vaccine is available. I have read and fully understand the information on this declination form.

 

Print name

 

Department

 

 

 

 

 

Signature

 

Date