
Get the free Immunization Exemption Form - Fort Frye Local School District
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Immunization Exemption Form
(Religious, Good Cause and Medical)
Amended Substitute Senate Bill No.282, Ohio Revised Code
Sections 3313.671, part (3) and (4)
Section 3313.671, part (3): A pupil who
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How to fill out immunization exemption form

How to fill out immunization exemption form:
01
Start by obtaining the immunization exemption form from the relevant authority. This could be the health department or the school administration.
02
Read the instructions provided with the form carefully. Make sure you understand the requirements and the necessary documentation that needs to accompany the form.
03
Fill out the personal information section of the form. This usually includes your name, address, contact information, and sometimes your child's information if the form is for a minor.
04
Specify the type of exemption you are seeking. There are typically different options available, such as medical, religious, or philosophical exemptions. Choose the one that applies to your situation.
05
Provide supporting documentation if required. This may vary depending on the jurisdiction, but common examples include medical records, statements from religious leaders, or personal statements explaining your philosophical beliefs.
06
Sign and date the form. Make sure you follow any additional instructions specific to the form regarding signatures.
07
Review the completed form to ensure accuracy and completeness. Double-check that all required fields have been filled out and all necessary documents are attached.
08
Submit the immunization exemption form following the specified instructions. This may involve mailing it to the appropriate address, submitting it in person, or following any online submission procedures.
Who needs an immunization exemption form:
01
Parents or legal guardians who wish to exempt their child from mandatory immunizations may need to fill out an immunization exemption form.
02
Some individuals with medical conditions that contraindicate certain vaccines may require an immunization exemption form to be filled out by a medical professional.
03
Individuals who have religious or philosophical beliefs that conflict with immunizations may need to complete an exemption form, depending on the laws and regulations of their jurisdiction.
It's essential to consult your local health department or school administration for specific guidelines and requirements regarding immunization exemption forms in your area.
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