About Us
Mandatory Participation Seasonal Influenza Prevention Program
To reduce the probability of transmission of seasonal influenza to our employees and our patients, MD Anderson has implemented a mandatory participation influenza prevention program. The program is ONLY for employees with direct patient care working in high-risk areas. These employees must either receive a seasonal flu shot, show proof of having received one, or sign a waiver or declination form.
It is the employee’s responsibility to comply with this program by October 30, 2009. Noncompliance will be reported to department managers and directors after the deadline.
The program is mandatory for employees with direct patient care working in high-risk areas such as ATC, Bone Marrow Aspiration, Critical Care, Emergency Center, G9 East(Lymphoma), G9 West (Pediatrics), G10 E (Gyn/Radiation), G10 W (Leukemia & SCTCT), G11(Stem Cell), GIM AT & EC, Infection Control, Infectious Disease, Leukemia, Lymphoma, Nursing - CCU, P6 (Leukemia), P7 (Telemetry & Thoracic Surgery), P10, Melanoma/Sarcoma), P12 (Medical Telemetry), Pediatrics, Pulmonary Lab, Pulmonary Medicine, Respiratory Care, and Stem Cell Transplantation
In order to be compliant with the Mandatory Participation Influenza Prevention Program, employees must have any one of the following:
- A seasonal flu shot from Employee Health and Well-being
- A signed waiver form (pdf) on file with Employee Health and Well-being
- A signed declination form (pdf) on file with Employee Health and
Well-being - Documentation of a seasonal flu shot from an outside facility on or after August 1, 2009*
*Documentation must include the name of the employee, the date the seasonal flu shot was given, the vaccine manufacturer, the lot number, and the signature of the health care provider(s).
Send all forms and documentation via fax to (713) 745-3352 or e-mail to HREmployeeHealth@mdanderson.org. Please don’t forget to include your MD Anderson Employee ID number.
Influenza Vaccine WAIVER/DECLINATION FORM (pdf)
Resources for Employee Health & Well-being
Employee Accident Report (pdf)
Occupational Health Program for Persons with Animal Contact (pdf)
Medical Questionnaire for Respirator Users (pdf)
Report needlesticks to 713-604-OUCH (6824)
Contact a wellness coach at
713-745-WELL (9355) or
askacoach@mdanderson.org