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Medical or Religious Exemption from Immunization Form Student Name Student I.D. # Date of Birth Age of Student Note: This form must be filled out annually. Students who are not immunized, or have
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What is medical or religious exemption?
Medical or religious exemption allows individuals to be exempt from certain requirements or responsibilities based on their medical condition or religious beliefs.
Who is required to file medical or religious exemption?
Individuals who have a valid medical condition or religious belief that conflicts with a certain requirement are required to file for a medical or religious exemption.
How to fill out medical or religious exemption?
To fill out a medical or religious exemption, individuals need to provide documentation from a healthcare provider or religious leader stating the medical condition or religious belief that warrants the exemption.
What is the purpose of medical or religious exemption?
The purpose of medical or religious exemption is to accommodate individuals who are unable to fulfill certain requirements due to medical reasons or religious beliefs.
What information must be reported on medical or religious exemption?
The information reported on a medical or religious exemption typically includes the individual's name, medical condition or religious belief, and supporting documentation.
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