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STATE OF OHIO LEGAL IMMUNIZATION EXEMPTION Per OHIO STATUTE 3313.671 (EXEMPTIONS) Student:___ School:___ I HEREBY WITHDRAW my CONSENT to have my child vaccinated. Our beliefs PROHIBIT such practices.

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How to fill out school health services immunization

01

Contact the school health services department to obtain a copy of the immunization form.

02

Fill out the form with accurate information regarding your child's immunization history.

03

Include proof of immunizations from a healthcare provider or clinic, if necessary.

04

Submit the completed form and any supporting documentation to the school health services office.

Who needs school health services immunization?

01

All students who are enrolled in a school or educational institution that requires proof of immunizations for attendance.

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What is school health services immunization?

School health services immunization refers to the process of ensuring that students are up to date on their required vaccinations to prevent the spread of contagious diseases within the school setting.

Who is required to file school health services immunization?

Parents or guardians of students attending school are typically required to provide documentation of their child's immunization status.

How to fill out school health services immunization?

Parents can fill out school health services immunization forms by providing proof of their child's vaccinations from a healthcare provider or by completing any required forms provided by the school.

What is the purpose of school health services immunization?

The purpose of school health services immunization is to protect the health of students, staff, and the community by preventing the spread of vaccine-preventable diseases.

What information must be reported on school health services immunization?

Information such as the student's name, date of birth, vaccination dates, and types of vaccines received must be reported on school health services immunization forms.

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