Influenza Vaccine Declination Form

Updated 9 months ago by Meagan Palmer

Influenza Vaccine Declination E-Signature Document

Please complete all required fields in the below e-signature document. 

Once you have filled out the form, you will received an email confirmation from Adobe Sign. After confirming your email address, a copy of the completed form will be emailed to you. 

Upload this completed form to your Matchwell Profile in the Health Records section by selecting the Influenza Vaccine option.

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