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

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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 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.

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Form Details:

  • Released on May 4, 2021;
  • The latest edition provided by the Washington State Department of Corrections;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

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.

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

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