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Measles, Mumps & Rubella Vaccination Requirement Medical Exemption Request Form To request a medical exemption from the WCC Measles, Mumps & Rubella Vaccination requirement, please complete this form

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How to fill out measles mumps and rubella

01

Obtain a copy of the measles mumps and rubella vaccination form.

02

Fill out the form with your personal information, including name, date of birth, and contact information.

03

Provide details of any previous vaccinations you may have had for measles, mumps, and rubella.

04

Sign and date the form to confirm that the information provided is accurate and complete.

Who needs measles mumps and rubella?

01

Measles mumps and rubella (MMR) vaccination is recommended for all children and adults who have not been properly immunized against these diseases. It is especially important for infants, young children, and healthcare workers to receive the MMR vaccine to prevent the spread of these contagious diseases.

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What is measles mumps and rubella?

Measles mumps and rubella (MMR) is a combined vaccine that protects against three viral infections: measles, mumps, and rubella.

Who is required to file measles mumps and rubella?

Healthcare providers are required to file measles mumps and rubella vaccination records for their patients.

How to fill out measles mumps and rubella?

Measles mumps and rubella vaccination records can be filled out by documenting the date of vaccination and the type of vaccine administered.

What is the purpose of measles mumps and rubella?

The purpose of measles mumps and rubella vaccination is to prevent the spread of these contagious diseases and protect public health.

What information must be reported on measles mumps and rubella?

The information that must be reported on measles mumps and rubella includes the patient's name, date of birth, vaccination date, and vaccine type.

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