Doctor Taking Notes

LPN ORINTATION

WELCOME TO COMPETENT MEDICAL SOLUTIONS....

We are so glad you are apart of this great team of Competent, Highly Professional, Caring Healthcare Providers!

PLEASE COMPLETE ORIENTATION & FACILITY REQUIREMENTS AS SOON AS POSSIBLE

Covid Booster Vaccination Card
TB Card
Flu Vaccination
Hepatitis B vaccination
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HEPATITIS B DECLINATION STATEMENT

I understand that due to my occupational exposure to blood or other potentially infectious materials I may be at risk of acquiring Hepatitis B virus (HBV) infection.


I have read and understand the health risks involved with Hepatitis B, however, I voluntarily decline Hepatitis B vaccination at this time.


I fully understand the risk of its transmission, and have full knowledge of its effects on the human body. I understand that by declining this vaccine I continue to be at risk of acquiring Hepatitis B, a serious disease.

Thanks for submitting!

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