Covid Vaccine Declination Form - I affirmatively decline the covid vaccine at this time. The university of california strongly recommends that all members of the university community stay. Joseph health and its family of organizations requires caregivers to participate. All curi recommendations are based on current cdc. Org has produced a form titled “record of vaccine declination.” this form facilitates and documents the discussion that a. Sample vaccine ascertainment and declination. ***please specify the reason for declination: I have read and fully understand the information on this declination form.
***please specify the reason for declination: The university of california strongly recommends that all members of the university community stay. Sample vaccine ascertainment and declination. Joseph health and its family of organizations requires caregivers to participate. Org has produced a form titled “record of vaccine declination.” this form facilitates and documents the discussion that a. All curi recommendations are based on current cdc. I have read and fully understand the information on this declination form. I affirmatively decline the covid vaccine at this time.