CO CDPHE Immunization Medical Exemption 2016 free printable template
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Immunization Medical Exemption Form Colorado law C.R.S. 254902 requires all students attending any school in the state of Colorado to be vaccinated against certain vaccine preventable diseases as
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How to fill out medical immunization exemption form
How to fill out CO CDPHE Immunization Medical Exemption
01
Obtain the CO CDPHE Immunization Medical Exemption form from the official website or your healthcare provider.
02
Fill in your personal information including your name, address, date of birth, and contact information.
03
Specify the vaccine or vaccines for which you are seeking an exemption.
04
Include a detailed description of the medical reason for the exemption, including any relevant medical history.
05
Have the form signed by a licensed physician who can attest to your medical situation.
06
Submit the completed form to your child's school or child care facility, ensuring that you keep a copy for your records.
Who needs CO CDPHE Immunization Medical Exemption?
01
Individuals with specific medical conditions that contraindicate certain vaccinations.
02
Parents or guardians of school-age children who are unable to vaccinate due to medical reasons.
03
Individuals who have documented allergies or adverse reactions to vaccine components.
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What is CO CDPHE Immunization Medical Exemption?
The CO CDPHE Immunization Medical Exemption is a legal document that allows individuals to opt-out of certain immunizations required for school or childcare based on medical reasons.
Who is required to file CO CDPHE Immunization Medical Exemption?
Parents or guardians of children who cannot receive certain vaccinations due to medical contraindications are required to file the CO CDPHE Immunization Medical Exemption.
How to fill out CO CDPHE Immunization Medical Exemption?
To fill out the CO CDPHE Immunization Medical Exemption, a physician must complete the form, providing details on the specific medical condition that prohibits vaccination and the recommended immunizations for exemption.
What is the purpose of CO CDPHE Immunization Medical Exemption?
The purpose of the CO CDPHE Immunization Medical Exemption is to ensure that individuals who have medical reasons for not getting vaccinated are still able to access education and childcare without compromising public health.
What information must be reported on CO CDPHE Immunization Medical Exemption?
The information that must be reported on the CO CDPHE Immunization Medical Exemption includes the child's name, date of birth, the specific vaccines for which the exemption is requested, and the medical reason for the exemption as certified by a licensed healthcare provider.
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