This version of the form is not currently in use and is provided for reference only. Download this version of Form DOC03-172 for the current year.
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.
Q: What is DOC03-172?
A: DOC03-172 is a form for Hepatitis B Vaccine Consent/Waiver and Vaccination Record in Washington.
Q: What is the purpose of this form?
A: The purpose of this form is to obtain consent for Hepatitis B vaccination and to keep a record of the vaccination.
Q: Who needs to use this form?
A: This form needs to be used by individuals in Washington who are required to receive the Hepatitis B vaccine.
Q: What is Hepatitis B?
A: Hepatitis B is a viral infection that affects the liver and can cause chronic liver disease.
Q: What does the form require?
A: The form requires personal information, consent for vaccination, and information about previous doses of Hepatitis B vaccine.
Q: Is the Hepatitis B vaccine mandatory in Washington?
A: No, the Hepatitis B vaccine is not mandatory in Washington, but it is recommended, especially for certain high-risk groups.
Q: Can someone refuse the Hepatitis B vaccine?
A: Yes, individuals have the option to refuse or waive the Hepatitis B vaccine by signing the appropriate section on the form.
Q: Does this form need to be notarized?
A: No, this form does not usually require notarization.
Form Details:
Download a printable version of Form DOC03-172 by clicking the link below or browse more documents and templates provided by the Washington State Department of Corrections.