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2552 Route 6 Hawley, PA 184289007 (570) 2264557 ext. 3000 Fax: (570) 2260638WALLENPAUPACK AREA SCHOOL DISTRICTCERTIFICATE OF IMMUNIZATION/ IMMUNIZATION EXEMPTION Name ___Birthdate ___Address ___Parent
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How to fill out immunization exemption
How to fill out immunization exemption
01
Obtain the necessary exemption form from your state's Department of Health or Education.
02
Fill out the form completely and accurately, including personal information, reason for exemption, and any required signatures.
03
Provide any supporting documentation, such as a letter from a healthcare provider or religious leader, if applicable.
04
Submit the completed form to the appropriate state agency for review and approval.
Who needs immunization exemption?
01
Individuals who have valid medical reasons for not receiving immunizations.
02
Individuals whose religious or philosophical beliefs prohibit them from receiving immunizations.
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What is immunization exemption?
Immunization exemption is a legal process that allows individuals to opt out of required immunizations for medical, religious, or personal reasons.
Who is required to file immunization exemption?
Individuals who wish to be exempt from required immunizations are required to file an immunization exemption form.
How to fill out immunization exemption?
To fill out an immunization exemption form, individuals must provide their personal information, reason for exemption, and any supporting documentation.
What is the purpose of immunization exemption?
The purpose of immunization exemption is to provide individuals with the option to opt out of required immunizations for various reasons.
What information must be reported on immunization exemption?
Information such as personal details, reason for exemption, supporting documentation, and any additional information required by the issuing authority.
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