Religious Exemption Letter Printable Immunization Exemption Form
Nc Immunization Exemption Form. Web included are the following: Submission of certificate to college or universities.
Religious Exemption Letter Printable Immunization Exemption Form
They are medical and religious. Web north carolina law provides for two types of exemptions from required immunizations. Retain a copy for the patient’s file. Submission of certificate to college or universities. Web instructions complete and sign the form. 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. To provide physicians licensed to practice medicine in north carolina, a mechanism to certify, pursuant to g.s. Web nc medical exemption statement form dhhs 3987 purpose: Provide documentation to support the request (clinic notes, labs, etc). Restitution required when vaccine spoiled due to provider negligence.
Submission of certificate to college or universities. Web instructions complete and sign the form. They are medical and religious. Retain a copy for the patient’s file. Submission of certificate to college or universities. Use this form for true contradictions and precautions. Web included are the following: Provide documentation to support the request (clinic notes, labs, etc). Attach a copy of the most current immunization record. Web like all states, north carolina provides for medical exemptions from immunizations. Medical exemption (pdf, 170 kb) (dhhs 3987) use this form for true contraindications, i.e.