Flu Vaccine Religious Exemption Form
Flu Declination Form. Prevention and control of seasonal influenza with vaccines:. Web i am declining due to the following reasons (check all that apply):
I believe i will get influenza if i get the vaccine. Web i am declining due to the following reasons (check all that apply): Web signature date name (print) department reference: Prevention and control of seasonal influenza with vaccines:.
Prevention and control of seasonal influenza with vaccines:. Web signature date name (print) department reference: I believe i will get influenza if i get the vaccine. Web i am declining due to the following reasons (check all that apply): Prevention and control of seasonal influenza with vaccines:.
