This form is required for anyone declining the seasonal influenza vaccine during the 2024–2025 season. It documents your reason for refusal and acknowledges that the flu vaccine is recommended for healthcare workers to protect patients, coworkers, and the community.
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Disclaimer:
Hospital Credentialing Hub is an independent resource and is not affiliated with or endorsed by any hospital or credentialing agency. While we strive to keep information accurate and up to date, users should always confirm requirements directly with their hospital or credentialing agency.
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