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Employee Health Rights

Updated: Sep 13, 2021



Employee Health Rights
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This form may be used to stipulate health rights associated with Covid-19 injection and viral testing in the workplace. Borrow the verbiage for your own template if that is preferred. The key state protection that favors employee health rights is known as the Healthcare Right of Conscience Act.


The law prohibits any physician or health care personnel from being civilly or criminally liable to any person, estate, public or private entity or public official by reason of his or her refusal to perform, assist, counsel, suggest, recommend, refer or participate in any way in any particular form of health care service which is contrary to the conscience of such physician or health care personnel.


Additionally, no person, public or private institution, or public official may discriminate against any person due to that person’s conscientious refusal to participate in any way in any particular form of health care services contrary to his or her conscience.


The law defines health care to mean:

“any phase of patient care, including but not limited to, testing; diagnosis; prognosis; ancillary research; instructions; family planning, counseling, referrals, or any other advice in connection with the use of procurement of contraceptives and sterilization or abortion procedures; medication; or surgery or other care or treatment rendered by a physician or physicians, nurses, paraprofessionals or health care facility, intended for the physical, emotional, and mental well-being of persons.”

Ensure your employer confirms receipt of the form in writing.


Awake IL is hoping to be a bridge for anyone worried about unlawful infringement of state and/or federal protections. Please share this form with anyone interested in submitting documentation of their rights to their employer. Please send any updates on the use of this template (or any other form of health rights documentation) with us via email at info@awakeIL.com

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