Attachment VI - VHA Directive 1192-01.pdf

This is a VHA Directive establishing mandatory seasonal influenza vaccination policy for all health care personnel (HCP) in the Veterans Health Administration.

The directive requires all HCP—including employees, volunteers, trainees, contractors, researchers, and home-based care providers—to receive annual seasonal influenza vaccination or obtain a medical or religious exemption by November 30 each year. Those receiving exemptions must wear face masks throughout the influenza season (December 1 through March 31, extendable based on local epidemiology). HCP must complete and submit the Health Care Personnel Influenza Vaccination Form (VA Form 10-9050) to Employee Occupational Health by the November 30 deadline or within two weeks of beginning employment. Acceptable documentation includes signed immunization records from healthcare providers or pharmacies, or copies of medical records. Compliance is a condition of employment, with violations subject to disciplinary action up to removal from federal service. The directive addresses medical exemptions for CDC-recognized contraindications (requiring physician signature and National Provider Identification number) and religious exemptions (requiring written notification to supervisors). VHA facilities must provide at least two notifications by November 30, distribute face masks, and ensure HCP access to education on proper mask use and flu prevention strategies. The directive is effective August 10, 2020, and scheduled for recertification by August 31, 2025. Appendices include implementation procedures and the required vaccination form.