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This document is a request form for students or guardians to seek exemption from vaccination and immunization requirements in Massachusetts based on religious or medical grounds. It outlines the responsibilities and potential consequences in the event of a vaccine-preventable disease outbreak.
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A vaccination exemption request is a formal application made by an individual seeking an exemption from mandatory vaccination requirements due to medical, religious, or philosophical reasons.
Individuals who wish to opt out of vaccination mandates for themselves or their dependents, due to valid reasons such as health conditions or personal beliefs, are required to file a vaccination exemption request.
To fill out a vaccination exemption request, individuals typically need to complete a specific form provided by the health authority or institution, detailing their reasons for the exemption and providing any required documentation or signatures.
The purpose of a vaccination exemption request is to allow individuals who cannot or choose not to be vaccinated to formally declare their exemption and ensure compliance with local laws or regulations.
Information that must be reported typically includes the individual's personal details, the reason for requesting the exemption, relevant medical information if applicable, and any additional documentation that may be required by the governing authority.
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