Declining Vaccination Form - Web understand that my refusal to have my child vaccinated does not exempt my child from georgia school or child care facility. Web declination of influenza vaccination my employer or afiliated health facility, , recommends that receive influenza. Web in signing this form, i acknowledge i am refusing to have my child vaccinated against one or more diseases listed above; As stated in sections 4, 6, and appendix b to health officer order. Web your use of the “record of vaccine declination” demonstrates the importance you place on timely and.
Web declination of influenza vaccination my employer or afiliated health facility, , recommends that receive influenza. Web in signing this form, i acknowledge i am refusing to have my child vaccinated against one or more diseases listed above; Web your use of the “record of vaccine declination” demonstrates the importance you place on timely and. As stated in sections 4, 6, and appendix b to health officer order. Web understand that my refusal to have my child vaccinated does not exempt my child from georgia school or child care facility.