MI DCH-0713 2020 free printable template

STATE OF MICHIGAN GRETCHEN WHITMER GOVERNORDEPARTMENT OF HEALTH AND HUMAN SERVICES LANSINGROBERT GORDON DIRECTOR2020 Medical Contraindication Form Michigan immunization law requires that a child enrolled

How to fill out MI DCH-0713

How to fill out MI DCH-0713

1. Obtain the MI DCH-0713 form from the Michigan Department of Health and Human Services website.
2. Read the instructions provided in the form to understand the requirements.
3. Fill out the applicant's information in Section 1, including name, address, and contact details.
4. Complete Section 2 by providing details about the household members.
5. In Section 3, indicate the type of service or assistance being requested.
6. Fill out any other additional sections as necessary based on your situation.
7. Review the completed form for accuracy and completeness.
8. Sign and date the form in the designated areas.
9. Submit the form to the specified address or online portal as directed in the instructions.

Who needs MI DCH-0713?

1. Individuals or families seeking assistance from the Michigan Department of Health and Human Services.
2. Those applying for medical assistance, food assistance, or other social services.
3. Caregivers or guardians filling out the form on behalf of eligible individuals.

People Also Ask about

Is it illegal to not vaccinate your child in Michigan?

Here's what to know about Michigan's vaccine law So what does Michigan law say about vaccines? The Michigan Public Health Code requires parents to immunize their children against illnesses like polio, diphtheria, tetanus, and pertussis (whooping cough). The law is enforced whenever and wherever children gather.

What to do if parents refuse vaccine?

For parents who refuse one or more recommended immunizations, document your conversation and the provision of the VIS(s), have a parent sign the Refusal to Vaccinate form, and keep the form in the patient's medical record.

Do I have to vaccinate my child for school Michigan?

Knowing school vaccination rules helps ensure your child is ready for school. Michigan students are required to have these vaccines: Diphtheria, tetanus, acellular pertussis (DTaP) Polio.

Do Michigan public schools require vaccinations?

Knowing school vaccination rules helps ensure your child is ready for school. Michigan students are required to have these vaccines: Diphtheria, tetanus, acellular pertussis (DTaP) Polio.

Can I refuse to vaccinate my child in Michigan?

Michigan allows philosophical and religious waivers, which means that no one seeking an immunization waiver for their child is denied. If a child can't receiving a vaccine because of a medical condition, they will need a medical exemption form from their doctor's office.

What is the Michigan law for vaccine exemption?

Michigan allows philosophical and religious waivers, which means that no one seeking an immunization waiver for their child is denied. If a child can't receiving a vaccine because of a medical condition, they will need a medical exemption form from their doctor's office.

How do i get a vaccine waiver in Michigan?

Immunization Waivers To obtain a medical waiver, please make an appointment with your health care provider and have them complete a Medical Contradiction Form. To obtain a non-medical waiver, you will need to make an in-person appointment with a Mid-Michigan District Health Department nurse.

What happens to unvaccinated kids?

Children who are not vaccinated can transmit vaccine- preventable diseases at schools and in the community. Unvaccinated children can infect babies who are too young to be fully immunized. Unvaccinated children can infect people of any age who can't be immunized for medical reasons.

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What is MI DCH-0713?

MI DCH-0713 is a form used in Michigan for reporting and documenting specific health-related information as required by the Department of Community Health.

Who is required to file MI DCH-0713?

Healthcare providers, facilities, or organizations that are mandated to report specific health data or incidents related to public health or patient care in Michigan must file MI DCH-0713.

How to fill out MI DCH-0713?

To fill out MI DCH-0713, you should follow the instructions provided with the form, ensuring all required fields are filled out accurately with the pertinent health information, and submit it to the appropriate department as instructed.

What is the purpose of MI DCH-0713?

The purpose of MI DCH-0713 is to gather essential data related to public health, which helps the Michigan Department of Community Health monitor health trends, disease outbreaks, and overall community health.

What information must be reported on MI DCH-0713?

Information that must be reported on MI DCH-0713 includes patient identifiers, medical conditions or incidents, dates of occurrence, and any additional relevant health data as specified in the form's guidelines.