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Connecticut Department of Public Health Medical Exemption Certification Statement According to State statutes (Connecticut General Statutes Sections 19a7f and 10204a), no child may be admitted to

How to fill out connecticut medical exemption certification

How to fill out connecticut medical exemption certification

1. To fill out Connecticut medical exemption certification, follow these steps:
2. Obtain the form from the Connecticut Department of Public Health or download it from their website.
3. Read the instructions carefully before filling out the form.
4. Provide your personal information such as name, address, contact details, and the name of the patient if you're filling it on behalf of someone else.
5. Clearly state the medical condition or reason that qualifies for an exemption.
6. Attach any supporting documents or medical records that prove the necessity for the exemption.
7. Sign and date the form.
8. Submit the completed form along with any required fees to the appropriate authority.
9. Keep a copy of the filled-out form for your records.

Who needs connecticut medical exemption certification?

1. Connecticut medical exemption certification is needed by individuals who have a valid medical condition or reason that prevents them from receiving certain vaccinations.
2. This certification may be required for various purposes such as school enrollment, participation in certain activities, or for exemption from vaccination mandates.

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