Nc Immunization Exemption Form. Web instructions complete and sign the form. They are medical and religious.
Dallas Back To School Immunization Information
Provide documentation to support the request (clinic notes, labs, etc). Medical exemption (pdf, 170 kb) (dhhs 3987) use this form for true contraindications, i.e. Web included are the following: Use this form for true contradictions and precautions. The state also allows exemptions based on “bona fide religious beliefs.” it does not, however, grant. Medical exemptions for required immunizations will only be granted upon submission of either a medical exemption statement (dhhs 3987) or physicians request for medical exemption (dhhs 3995). Web north carolina law provides for two types of exemptions from required immunizations. Submission of certificate to college or universities. Web the state health director may, upon request by a physician licensed to practice medicine in this state, grant a medical exemption to a required immunization for a contraindication not on the list adopted by the commission. Physician’s request for medical exemption (pdf, 136 kb) (dhhs 3995)
Physician’s request for medical exemption (pdf, 136 kb) (dhhs 3995) Web like all states, north carolina provides for medical exemptions from immunizations. Learn more about these exemptions, and the process for requesting an exemption for your children. Provide documentation to support the request (clinic notes, labs, etc). They are medical and religious. To provide physicians licensed to practice medicine in north carolina with a mechanism to request a medical exemption to a required immunization(s), pursuant to g.s. Recommended immunization schedules for persons aged 0 through 18 years, u.s., 2023 recommended immunization schedule for adults aged 19 years and older, u.s., 2023 2023 ‘you call the shots’ training modules Submission of certificate to college or universities. To provide physicians licensed to practice medicine in north carolina, a mechanism to certify, pursuant to g.s. Those recognized by the commission for public health. Web (08/03/2020)revised medical exemption statement and physician’s request for medical exemption forms memo;
