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Lincoln Public Schools Department of Student Services 5901 O Street Lincoln NE 68510 (402) 4361688 (Fax) 4361686IMMUNIZATION WAIVERHS0027 Rev. 3/19Department of Health Services Lincoln Public SchoolsStudentID×DOBDateMEDICAL
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What is immunization waiver rev 319?
The immunization waiver rev 319 is a form used to request an exemption from the standard immunization requirements.
Who is required to file immunization waiver rev 319?
Parents or guardians of children who are seeking an exemption from immunization requirements are required to file the immunization waiver rev 319.
How to fill out immunization waiver rev 319?
To fill out the immunization waiver rev 319, the parent or guardian must provide information about the child, the reason for requesting the exemption, and any supporting documentation.
What is the purpose of immunization waiver rev 319?
The purpose of the immunization waiver rev 319 is to allow individuals to request an exemption from immunization requirements based on their personal beliefs or medical reasons.
What information must be reported on immunization waiver rev 319?
The immunization waiver rev 319 must include information about the child, the reason for the exemption request, and any supporting documentation such as a doctor's note or letter of explanation.
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