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John A. Swanson Student Health Services Channel Hall, Room 100 2891 2nd Avenue N., Stop 9038 Grand Forks, ND 582029038Phone: 701.777.4500Fax: 701.777.4835Immunization Exemption Request Form Complete
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How to fill out immunization exemption request form
How to fill out immunization exemption request form
01
Obtain the immunization exemption request form from your school or healthcare provider.
02
Fill out your personal information such as name, date of birth, address, and contact information.
03
Provide a detailed explanation for why you are requesting an exemption from immunization.
04
Include any supporting documentation or medical records that may be necessary.
05
Sign and date the form to acknowledge that the information is accurate.
06
Submit the completed form to the appropriate individual or department for review and approval.
Who needs immunization exemption request form?
01
Individuals who are seeking an exemption from immunization requirements for reasons such as medical conditions, religious beliefs, or philosophical objections.
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What is immunization exemption request form?
The immunization exemption request form is a document used to request an exemption from mandatory immunization requirements for certain individuals.
Who is required to file immunization exemption request form?
Individuals who wish to request an exemption from mandatory immunization requirements are required to file an immunization exemption request form.
How to fill out immunization exemption request form?
To fill out the immunization exemption request form, individuals must provide their personal information, reason for requesting exemption, and any supporting documentation.
What is the purpose of immunization exemption request form?
The purpose of the immunization exemption request form is to allow individuals to request an exemption from mandatory immunization requirements based on certain criteria.
What information must be reported on immunization exemption request form?
The immunization exemption request form requires individuals to report their personal information, reason for requesting exemption, and any supporting documentation.
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