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1Granada Hills Charter Student Medical Exemption to COVID-19 Vaccine Page one to be completed by the students parent or guardian Page two to be completed by California Licensed Physician (MD or DO
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How to fill out student-covid-19-vaccination-medical-exemption-form

01
Obtain the student-covid-19-vaccination-medical-exemption-form from the relevant school or educational institution.
02
Fill out the student's personal information, including full name, date of birth, and student ID number.
03
Provide details of the medical condition or reason for exemption from receiving the COVID-19 vaccination.
04
Attach any supporting medical documentation or notes from a healthcare provider if required.
05
Sign and date the form to certify the information provided is accurate and true.

Who needs student-covid-19-vaccination-medical-exemption-form?

01
Students who have a medical condition or other valid reason that prevents them from receiving the COVID-19 vaccination.
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The student-covid-19-vaccination-medical-exemption-form is a form that allows students to request an exemption from receiving the COVID-19 vaccine for medical reasons.
Students who are unable to receive the COVID-19 vaccine for medical reasons are required to file the student-covid-19-vaccination-medical-exemption-form.
To fill out the student-covid-19-vaccination-medical-exemption-form, students must provide medical documentation from a qualified healthcare provider explaining the reason for the exemption.
The purpose of the student-covid-19-vaccination-medical-exemption-form is to allow students who cannot receive the COVID-19 vaccine for medical reasons to request an exemption.
The student-covid-19-vaccination-medical-exemption-form must include medical documentation explaining the reason for the exemption from receiving the COVID-19 vaccine.
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