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Angeles Lakes Regional School 43 Mongolia Rd Angeles, ME 04970 2078643311 IMMUNIZATION EXEMPTION FORM As a parent/guardian of (Student name)in grade and date of birth, I am requesting a waiver for

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How to fill out immunization exemption formdocx

01

Download the immunization exemption formdocx from the official website of the health department

02

Fill out personal information such as name, date of birth, address, etc.

03

Provide reasons for requesting an exemption from immunization

04

Submit any supporting documents or medical records if required

05

Sign and date the form

06

Submit the completed form to the designated authority for review and approval

Who needs immunization exemption formdocx?

01

Individuals who have medical conditions that prevent them from receiving vaccines

02

People with religious or philosophical beliefs that conflict with immunization

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What is immunization exemption formdocx?

The immunization exemption formdocx is a document that allows individuals to request an exemption from immunization requirements for certain reasons.

Who is required to file immunization exemption formdocx?

Individuals who are seeking an exemption from immunization requirements are required to file the immunization exemption formdocx.

How to fill out immunization exemption formdocx?

To fill out the immunization exemption formdocx, individuals must provide their personal information, the reason for seeking an exemption, and any supporting documentation.

What is the purpose of immunization exemption formdocx?

The purpose of the immunization exemption formdocx is to allow individuals to request an exemption from immunization requirements for certain reasons.

What information must be reported on immunization exemption formdocx?

The immunization exemption formdocx requires individuals to report their personal information, the reason for seeking an exemption, and any supporting documentation.

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