Form DOC03-172 Hepatitis B Vaccine Consent / Waiver and Vaccination Record - Washington

What Is Form DOC03-172?

This is a legal form that was released by the Washington State Department of Corrections - a government authority operating within Washington. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form DOC03-172?
A: Form DOC03-172 is the Hepatitis B Vaccine Consent/Waiver and Vaccination Record specific to Washington.

Q: What does this form involve?
A: This form is used for obtaining consent or waiver for the Hepatitis B vaccine, as well as recording information about the vaccination in Washington.

Q: What is the purpose of the Hepatitis B vaccine?
A: The purpose of the Hepatitis B vaccine is to protect against Hepatitis B, a viral infection that can cause liver damage.

Q: Who needs to fill out this form?
A: This form needs to be filled out by individuals who are receiving the Hepatitis B vaccine or their legal guardians.

Q: Can the Hepatitis B vaccine be waived?
A: Yes, there is an option on the form to waive the Hepatitis B vaccine if desired.

Q: Is this form specific to Washington only?
A: Yes, this form is specific to Washington and may have variations in other states or provinces.

Q: What information is required on the form?
A: The form requires personal information of the individual receiving the vaccine and their legal guardian if applicable, as well as their signature for consent or waiver.