Get the free CDPHE Nonmedical Immunization Exemption Form

Immunization Certificate of Nonmedical Exemption Colorado law C.R.S. 254902 requires all students attending any school in the stateofColoradotobevaccinatedagainstcertain vaccine preventable diseases,

How to fill out cdphe nonmedical immunization exemption

How to fill out cdphe nonmedical immunization exemption

1. To fill out the cdphe nonmedical immunization exemption, follow these steps:
2. Visit the Colorado Department of Public Health and Environment (CDPHE) website.
3. Download the nonmedical immunization exemption form.
4. Fill out the required personal and contact information.
5. Provide details on the individual requesting the exemption, such as their name, date of birth, and relationship to the immunization recipient.
6. Specify the immunizations for which the exemption is being requested.
7. Provide a reason for requesting the exemption, such as medical reasons or personal beliefs.
8. Sign and date the form, indicating that the information provided is accurate and true.
9. Submit the completed form to the appropriate authorities as instructed by the CDPHE.

Who needs cdphe nonmedical immunization exemption?

1. Individuals who want to be exempted from nonmedical immunizations in Colorado may need to fill out the cdphe nonmedical immunization exemption form.
2. This is typically required for individuals who have medical or personal belief reasons for not receiving certain vaccinations.
3. Each state may have different requirements, so it is important to check with the Colorado Department of Public Health and Environment for specific guidelines and eligibility criteria.

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What is cdphe nonmedical immunization exemption?

CDPHE nonmedical immunization exemption is a form that allows individuals in Colorado to exempt themselves or their children from mandatory immunizations for nonmedical reasons such as personal beliefs or religious reasons.

Who is required to file cdphe nonmedical immunization exemption?

Parents or legal guardians of children attending schools or childcare facilities in Colorado are required to file the CDPHE nonmedical immunization exemption if they choose to exempt their child from mandatory immunizations for nonmedical reasons.

How to fill out cdphe nonmedical immunization exemption?

To fill out the CDPHE nonmedical immunization exemption form, parents or legal guardians need to provide information about the child, their beliefs or reasons for seeking exemption, and sign the form.

What is the purpose of cdphe nonmedical immunization exemption?

The purpose of CDPHE nonmedical immunization exemption is to allow individuals to exercise their rights to exemption from mandatory immunizations for nonmedical reasons, such as personal beliefs or religious reasons.

What information must be reported on cdphe nonmedical immunization exemption?

Information such as the child's name, age, school or childcare facility, reasons for seeking exemption, and parent or legal guardian's signature must be reported on the CDPHE nonmedical immunization exemption form.