Hepatitis-B Vaccine Form

Hepatitis-B Vaccine Form

Welcome to our Hepatitis-B Vaccine Form

Please fill out this form so your clinician can recommend the best treatment plan for you.


Vaccine Information and Consent

Please read the following information carefully:

The Hepatitis-B vaccine is recommended to protect against the hepatitis-B virus, which can cause serious liver disease. The vaccine is usually given as a series of three injections over a six-month period.

• Common side effects: Pain at the injection site, headache, fatigue, and mild fever.
• Serious side effects: Severe allergic reactions are rare but can occur.