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Health Care Professional Statement 20242025 PER STATE LAW, THIS FORM MUST BE SIGNED/STAMPED BY YOUR CHILDS PEDIATRICIAN BEFORE BEING RETURNED TO SMES. Childs name:___ Immunization Record: I have provided
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Obtain the Arkansas 2024-2025 immunization exemption form.
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Individuals who are seeking an exemption from immunization requirements for the 2024-2025 school year in Arkansas.
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The Arkansas immunization exemption application is a legal document that allows parents or guardians to request an exemption from immunization requirements for their children based on certain criteria such as medical, religious, or personal beliefs.
Parents or guardians of children who are enrolling in school or daycare facilities in Arkansas and seeking an exemption from the state's immunization requirements are required to file the Arkansas immunization exemption application.
To fill out the Arkansas immunization exemption application, individuals must provide personal information about the child, specify the type of exemption sought (medical, religious, or philosophical), and may need to submit any required supporting documentation as specified in the application instructions.
The purpose of the Arkansas immunization exemption application is to formally document a request for exemption from mandatory immunizations, ensuring that parents or guardians can assert their rights to choose not to vaccinate their children based on specific grounds.
The application must report information such as the child's name, date of birth, the type of exemption requested, and the signature of the parent or guardian. Additional documentation may also be required depending on the type of exemption.
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