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Student Health Service Immunization Exemption Form Date: Dear Student: If you are requesting an exemption from fulfilling the required vaccination(s) for religious reasons, you must read and sign
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The immunization exemption form is a document that allows individuals to request an exemption from mandatory immunization requirements.
Any individual who wishes to be exempted from immunization requirements is required to file the immunization exemption form.
To fill out the immunization exemption form, you need to provide your personal information, reason for exemption, and any supporting documentation. The specific requirements may vary depending on your jurisdiction.
The purpose of the immunization exemption form is to provide a legal means for individuals to seek exemption from mandatory immunization requirements, usually for medical, religious, or personal beliefs reasons.
The information required on the immunization exemption form typically includes the individual's name, contact information, reason for exemption, and any supporting documentation.
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