While full participation in the program is strongly encouraged, individuals have the option of declining Health Professional follow-up recommendations. Those individuals declining to complete follow-up recommendations, should complete Form C – Declination, provided the individual has first undergone required OHSP training. The individual acknowledges on Form C – Declination, his/her awareness of risks and by declining follow-up requests may encounter the possibility of adverse health effects related to the occupational exposure. The declination for follow-ups can be reversed at any point by contacting the clinic or resubmitting a Renewal HHQ Form A-Renewal. In some cases, the PI may limit or restrict access of an individual to certain areas or activities based on the HP’s assessment, or if the individual chooses not to follow the HP’s recommendations and signs Form C – Declination.