Hepatitis B Vaccination Acceptance/Declination Form

In accordance with the OSHA Bloodborne Pathogen Standard 29 CFR 1910.1030, George Mason University employees at risk of occupational exposure to blood or other potentially infectious materials are eligible to receive the Hepatitis B vaccination series. All employees determined to be at risk MUST complete this vaccine acceptance/declination form below as part of their annual training.

NOTE: Possible reasons for declining the Hepatitis B vaccine may include previous vaccination for Hepatitis B, personal health status, or personal choice. You do not need to provide a reason for declining the vaccine, and if you initially decline, you may change your mind at any time by contacting Employee Health and Wellness EHW@gmu.edu