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SUN Noblesville COVID-19 Vaccine Religious Exemption Request Form Section I: Student Information (to be completed by student or guardian, if student is under 18 years old after 1/20/2023)Last NameFirst
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01
Obtain the immunization information form from the relevant healthcare provider or institution.
02
Fill out personal information such as name, date of birth, and contact information.
03
List all previous immunizations received, including the type of vaccine, date administered, and the name of the provider.
04
Include any relevant medical history or allergies that may impact vaccination decisions.
05
Sign and date the form to certify its accuracy.

Who needs immunization information - form?

01
Anyone who is required to provide proof of immunization for school, work, travel, or healthcare purposes needs to fill out an immunization information form.
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Immunization information form is a document used to record and report a person's immunization history.
Parents or guardians of minors, healthcare providers, schools, and childcare facilities are required to file immunization information forms.
Immunization information forms can be filled out by providing details of each immunization received, including the type of vaccine, date administered, and healthcare provider.
The purpose of the immunization information form is to ensure that individuals are properly vaccinated to prevent the spread of communicable diseases.
The information that must be reported on the immunization information form includes the individual's name, date of birth, immunization history, and healthcare provider details.
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