Declination of Influenza

Summit Home Care as well as the NYS Department of Health has recommended that I receive the influenza vaccination because I work in a health care environment, I may place others at risk; patients and coworkers if I work while infected with the influenza virus.

I have received, and understand, information given to me about the risks and benefits of the vaccine.

In declining an influenza vaccination for non-medical reasons, I am aware that:

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