Nurses Direct: Flu Vaccine Declination
I understand that due to my occupational exposure to blood and other potentially infections materials I may be at risk of acquiring an infectious disease. I have been given the opportunity to be vaccinated from a physician or other facility of my choice at my own expense. If I have already received all of the required vaccines, I agree to provide written documentation to verify to the same Nurses Direct if I will continue my services through Nurses Direct as an employee. I understand that by declining vaccines, I continue to be at risk of acquiring a serious disease. If in the future I continue to have occupational exposure to blood or potentially infectious materials and I want to be vaccinated, I can receive the vaccines from a physician or other facility of my choice at my own expense.
I decline to have the following vaccine due to allergies, previous health issues, or any other personal decisions and I understand the risks associated with job related exposures:
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FLU VACCINE
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