Get the free IMMUNIZATION WAIVER FORM - California State University, Fullerton - fullerton
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Student Health and Counseling Center (657) 278-2800 / Fax (657) 278-3069 IMMUNIZATION WAIVER FORM Name: CID #: DOB: Phone: Measles/Rubella (MMR) Medical: Hepatitis B Allergy to eggs Current pregnancy
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What is immunization waiver form?
The immunization waiver form is a document that allows individuals to request an exemption from mandatory vaccination requirements.
Who is required to file immunization waiver form?
Individuals who wish to forgo vaccination requirements for medical, religious, or philosophical reasons are required to file an immunization waiver form.
How to fill out immunization waiver form?
To fill out an immunization waiver form, individuals must provide their personal information, reasons for requesting the waiver, and any supporting documentation.
What is the purpose of immunization waiver form?
The purpose of the immunization waiver form is to allow individuals to request an exemption from mandatory vaccination requirements.
What information must be reported on immunization waiver form?
The information that must be reported on an immunization waiver form includes personal details, reasons for requesting the waiver, and any supporting documentation.
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