• See Cheryl's Work in the DermAtlas of Johns Hopkins University .•

• Permanent Makeup • Photo Gallery • FAQs • About Cheryl Doss RN • Contact Us • SofTap Products • Perfect Eyebrows • Models Wanted • Permanent Makeup Flash Presentation • History of Permanent Makeup • Permanent Makeup Books • RevitaLash • Dark Solid Brows to Hair-Strokes • Permanent Makeup for Trichotillomania • Permanent Makeup Methods • Training Classes • The Masters Program •

Students who wish to decline Hepatitis B Virus (HBV) immunization vaccine:

Print this page, sign and date the form, and submit to Lasting Impressions no later than the first day of class.

“I understand that due to my occupational exposure to blood or other potentially infectious materials I may be at risk of acquiring hepatitis B virus (HBV) infection. I have been advised to be vaccinated with hepatitis B vaccine. However, I decline hepatitis B vaccination at this time. I understand that by declining this vaccine, I continue to be at risk of acquiring hepatitis B, a serious disease.”

Signature:___________________________________________  Date: ___________________________