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. Any personnel or staff seeking to decline vaccination must also complete section 1 (vaccine declination) and section 2 (signature).

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_____ 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. 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. Any personnel or staff seeking to decline vaccination must also complete section 1 (vaccine declination) and section 2 (signature). A religious exemption will not be granted based on a philosophical, moral, or conscientious objection.

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