NM Certificate of Exemption from School/Daycare Immunization Requirements 2017-2026 free printable template
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Exemption from Immunization Form
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Who may use the Exemption from Immunization Form:
Individuals requesting a religious or medical exemption to immunization may use this form.
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How to fill out nm vaccine exemption form
How to fill out NM Certificate of Exemption from School/Daycare Immunization Requirements
01
Obtain the NM Certificate of Exemption form from the New Mexico Department of Health website or your local school district.
02
Fill out the personal information section including the student's name, date of birth, and parent or guardian's contact information.
03
Indicate the type of exemption you are requesting - medical, religious, or personal beliefs.
04
If requesting a medical exemption, have a licensed healthcare provider fill out the medical exemption section, providing documentation of the contraindication.
05
For religious or personal belief exemptions, write a brief statement explaining your beliefs.
06
Review the completed form for accuracy and completeness.
07
Sign and date the form to confirm the information provided.
08
Submit the signed exemption form to your child's school or daycare.
Who needs NM Certificate of Exemption from School/Daycare Immunization Requirements?
01
Parents or guardians of children who are seeking to enroll in school or daycare without the required immunizations.
02
Families with medical, religious, or personal beliefs that contradict vaccination requirements.
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What is NM Certificate of Exemption from School/Daycare Immunization Requirements?
The NM Certificate of Exemption from School/Daycare Immunization Requirements is a legal document that allows parents or guardians to exempt their children from the mandatory immunization requirements for school or daycare attendance in New Mexico.
Who is required to file NM Certificate of Exemption from School/Daycare Immunization Requirements?
Parents or guardians of children who do not wish to vaccinate their children for medical, religious, or philosophical reasons are required to file the NM Certificate of Exemption.
How to fill out NM Certificate of Exemption from School/Daycare Immunization Requirements?
To fill out the NM Certificate of Exemption, parents must complete the form by providing their child's information, selecting the reason for exemption (medical, religious, or philosophical), and signing the document.
What is the purpose of NM Certificate of Exemption from School/Daycare Immunization Requirements?
The purpose of the NM Certificate of Exemption is to allow parents the option to enroll their children in school or daycare without meeting the immunization requirements, while still providing a formal declaration of exemption.
What information must be reported on NM Certificate of Exemption from School/Daycare Immunization Requirements?
The NM Certificate of Exemption must report the child's name, date of birth, the specific exemptions being claimed, and the signature of the parent or guardian. It may also require the date of exemption and the school or daycare's information.
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