Hi Sue and all: yes at Seattle Midwifery School Hep B vac was recommended too 
but not required, it was more or less informed consent for us as health care 
providers. In most clinical sites it wasn't an issue but if it is then the 
clinic/midwife is informed  that this student is not vaccinated (on a form 
provided by the student). I do not know of anyone being refused a placement 
on vaccination status. However, I feel confident to say that some hospitals 
may feel otherwise. I was vaccinated some 6years ago for the work I was doing 
with developmentally challengd adults, so when I applied for a volunteer 
position a few years later at Stanford University Hospital, California they 
checked my titer levels and I was surprised to find them low, so I was 
revaccinated: given a booster. I had them checked again 2 years after that at 
midwifery school, and was given another booster, they were recently checked 
and were fine. I have never had problems with vaccinations so this was  just 
an interesting side note for me as I feel if I am going to be vaccinated it 
may as well be active. Having a titer done is just a blood draw, no biggy. 

In the event of someone challenging you on not being vaccinated it might be 
worth having a titer done to show you're not a carrier, I mean you can't 
spread the disease if you haven't been exposed and contracted it and if 
you're willing to take the risk of getting exposed over the risk of  being 
vaccinated then surely that is your choice. There must be something your can 
sign.

Regards marilyn
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