Flu Waiver Form

Flu Waiver Form - Influenza vaccination is recommended for me. For healthcare providers who want. • i have declined to receive the influenza. I have read and fully understand the information.

I have read and fully understand the information. • i have declined to receive the influenza. Influenza vaccination is recommended for me. For healthcare providers who want.

• i have declined to receive the influenza. For healthcare providers who want. Influenza vaccination is recommended for me. I have read and fully understand the information.

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• I Have Declined To Receive The Influenza.

Influenza vaccination is recommended for me. I have read and fully understand the information. For healthcare providers who want.

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