Vaccine Refusal Form Templates
Documents:
11
This Form is used for declining to receive the Hepatitis B vaccination.
PDF 
Word
This Form is used for declining the seasonal influenza vaccine in California.
This document examines the level of public trust in vaccines and provides insights into vaccine confidence globally. It discusses the importance of vaccine confidence for public health and highlights key factors that influence public attitudes towards vaccination.
This document discusses the current state of vaccine confidence and the efforts of the Vaccine Confidence Project to promote public trust in vaccines.
This type of document can be used by a patient that has decided not to take a vaccine offered by the current physician or healthcare provider they visit.
This document is for parents in Vermont who want to refuse consent for newborn screening for their baby. It is available in Nepali language.
This document is for the declination of getting the influenza vaccination. It provides an option to refuse or decline getting vaccinated against the flu.
This document is used by employees to request exemption from receiving the Covid-19 vaccine due to their religious beliefs. It contains specific guidelines to assist in making an informed and lawful decision.
This document is used by individuals seeking exemption from mandatory immunization due to religious beliefs. It contains a formal request to be excused, based on personal religious principles, from the necessity of receiving vaccinations.
