Covid Vaccine Declination Form Template

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

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

Any Personnel Or Staff Seeking To Decline Vaccination Must Also Complete Section 1 (Vaccine Declination) And Section 2 (Signature).

_____ 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. A religious exemption will not be granted based on a philosophical, moral, or conscientious objection.

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