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STATE OF VERMONT
SCHOOL IMMUNIZATION EXEMPTION FORM
Vermont's School Immunization Regulations apply to any student in attendance at any public or
independent kindergarten, any elementary or secondary
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How to fill out immunization exemption form

How to fill out immunization exemption form:
01
Obtain the immunization exemption form from the appropriate authority or organization. This may vary depending on your location, so it's important to research and identify where to request the form.
02
Fill out your personal details such as your name, date of birth, address, and contact information in the designated sections of the form.
03
Provide information about the specific immunizations you are seeking exemption from. This typically includes indicating the vaccines for which you are requesting an exemption and the reasons for your request.
04
Include any supporting documentation or evidence that is required to support your exemption request. This may include medical records, letters from healthcare professionals, or other relevant documents.
05
Read the instructions carefully and ensure that you have completed all the required sections accurately. Double-check for any errors or missing information before submitting the form.
06
Submit the completed immunization exemption form to the appropriate authority or organization as indicated on the form. Follow any additional instructions regarding submission methods, deadlines, or required attachments.
Who needs immunization exemption form:
01
Individuals who have medical conditions or allergies that make them ineligible for certain vaccinations may need an immunization exemption form. This allows them to request an exemption from receiving those vaccines while still complying with immunization requirements.
02
Parents or legal guardians who choose to exercise their right to exempt their children from mandatory immunizations may also need to fill out an immunization exemption form. This is often required by schools, daycares, or other institutions that have immunization requirements for enrollment.
03
Some individuals may require an immunization exemption form for religious or philosophical reasons. Depending on local laws and regulations, they may need to provide documentation or justification for their exemption request.
It's important to note that the specific requirements for obtaining and filling out an immunization exemption form may vary depending on your jurisdiction. Therefore, it is recommended to consult with local health authorities or legal professionals for accurate and up-to-date information in your specific location.
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