Get the free Immunization Non-medical Exemption Form

This form is used by parents or guardians in Colorado to file a non-medical exemption for their child regarding required vaccinations for school entry based on personal or religious beliefs.

How to fill out immunization non-medical exemption form

How to fill out immunization non-medical exemption form

1. Obtain the immunization non-medical exemption form from your local health department or school district.
2. Read the instructions carefully before filling out the form.
3. Provide your personal information, including your name, address, and contact details.
4. Indicate the specific immunizations for which you are seeking an exemption.
5. Clearly state the reason for your request for exemption, such as personal beliefs or philosophical beliefs.
6. Sign and date the form to certify that the information is accurate and complete.
7. Submit the completed form to the appropriate authority, such as your child's school or school district.

Who needs immunization non-medical exemption form?

1. Parents or guardians who wish to enroll their children in school without certain vaccinations.
2. Individuals who have personal, moral, or philosophical objections to vaccines.
3. Families living in areas where vaccination is mandated for school attendance.

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What is immunization non-medical exemption form?

The immunization non-medical exemption form is a legal document that allows parents or guardians to exempt their children from mandatory vaccinations for reasons other than medical, such as personal beliefs or religious beliefs.

Who is required to file immunization non-medical exemption form?

Parents or guardians of school-aged children who wish to exempt their children from required vaccinations for non-medical reasons must file this form.

How to fill out immunization non-medical exemption form?

To fill out the form, individuals must provide personal information such as the child's name, the reason for the exemption, and any required signatures or dates. It’s important to follow specific instructions provided by the educational institution or local health department.

What is the purpose of immunization non-medical exemption form?

The purpose of the immunization non-medical exemption form is to officially document a request for exemption from vaccination requirements, ensuring that it is recorded and acknowledged by the proper authorities.

What information must be reported on immunization non-medical exemption form?

Required information typically includes the child's full name, date of birth, the name of the parent or guardian, the specific immunizations being exempted, and the reason for the exemption.