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COVID-19 Booster Declination Form

July 27, 2023
4490
Print

Instructions:

There are some optional and customizable areas, such as whether you will require or recommend the COVID-19 vaccine, including the booster dose . These areas are highlighted for your reference.

The COVID-19 Booster Declination Form is a template for you to provide to your employees that would like to decline receiving the COVID-19 booster for medial or religious reasons. This document provides general information related to the law but does not provide legal advice.

Please note that all policies and forms that we provide should be reviewed by your legal counsel to ensure full compliance with your local, state and federal regulations and that is in accordance with your specific business needs.

COVID-19 Booster Policy _ Declination Form

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About California Dental Association (CDA)
We are the recognized leader for excellence in member services and advocacy promoting oral health and the profession of dentistry. Learn more about membership with CDA. Together, we champion better oral health care for all Californians.
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