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COVID-19 Vaccine Medical Exemption Request This form is part of the process to evaluate requests for medical exemptions from the King County Housing Authority (OCHA) COVID-19 vaccination requirement.

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How to fill out medical exemption form for

01

Obtain the medical exemption form from the appropriate healthcare provider or organization.

02

Fill out your personal information including your full name, date of birth, address, and contact information.

03

Provide a detailed explanation of your medical condition or reason for needing an exemption.

04

Include any supporting documentation such as medical records or doctor's notes.

05

Sign and date the form before submitting it to the relevant authority for review.

Who needs medical exemption form for?

01

Individuals who have a medical condition or valid reason that prevents them from receiving certain medical treatments or vaccinations.

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What is medical exemption form for?

The medical exemption form is for individuals who are seeking an exemption from certain medical requirements.

Who is required to file medical exemption form for?

Individuals who are unable to meet certain medical requirements or have medical conditions that warrant an exemption.

How to fill out medical exemption form for?

The medical exemption form can be filled out by providing detailed information about the medical condition and the reason for requesting an exemption.

What is the purpose of medical exemption form for?

The purpose of the medical exemption form is to provide individuals with a way to request an exemption from certain medical requirements.

What information must be reported on medical exemption form for?

The medical exemption form may require information about the medical condition, medical history, and a statement from a healthcare provider.

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