Covid Vaccine Declination Form Template

Covid Vaccine Declination Form Template - Vaccination program for personnel in high risk settings, personnel in certain additional health care settings, and staff at certain indoor. _____ i affirmatively decline the covid vaccine at this time. A religious exemption will not be granted based on a philosophical, moral, or conscientious objection. Staff seeking to decline vaccination must also complete section 1 (vaccine declination) and section 2 (signature) of this form. All curi recommendations are based on current cdc criteria at the time of publication.

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A religious exemption will not be granted based on a philosophical, moral, or conscientious objection. _____ i affirmatively decline the covid vaccine at this time. Vaccination program for personnel in high risk settings, personnel in certain additional health care settings, and staff at certain indoor. Staff seeking to decline vaccination must also complete section 1 (vaccine declination) and section 2 (signature) of this form. All curi recommendations are based on current cdc criteria at the time of publication.

_____ I Affirmatively Decline The Covid Vaccine At This Time.

Vaccination program for personnel in high risk settings, personnel in certain additional health care settings, and staff at certain indoor. Staff seeking to decline vaccination must also complete section 1 (vaccine declination) and section 2 (signature) of this form. All curi recommendations are based on current cdc criteria at the time of publication. A religious exemption will not be granted based on a philosophical, moral, or conscientious objection.

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