Why does CDC recommend that we consider obtaining a signed declination from HCP who refuse influenza vaccination?

Some studies have shown an increase in HCP influenza vaccine acceptance when decliners are required to sign such a statement. In addition, such statements can help a vaccination program assess the reasons for declination and plan future educational efforts. Immunize.org has posted the following suggested declination form for healthcare workers at www.immunize.org/catg.d/p4068.pdf.