STATEMENT AND ACKNOWLEDGEMENT OF MANDATORY COVID-19 VACCINE FOR ALL HEALTHCARE WORKERS IN NEW YORK STATE
On August 16, 2021, the State of New York announced that all healthcare workers in New York
State are required to be vaccinated against COVID-19 with limited exceptions for those
with religious or medical reasons.
The U.S. Food and Drug Administration (FDA) has fully approved a Covid-19 vaccine on August
I have read and understand this “Statement and Acknowledgement of Mandatory COVID-19
Vaccine for All Healthcare Workers in New York State” and acknowledge that as a home
health healthcare worker in New York State, I am required to be fully vaccinated against
COVID-19, with the first dose administered by Thursday, October 7, 2021.