Michigan documentsmdhhsGRETCHEN WHITMER DEPARTMENT OF HEALTH AND HUMAN SERVICES 2025

Get Form
medical contraindication Preview on Page 1

Here's how it works

01. Edit your medical contraindication online
Type text, add images, blackout confidential details, add comments, highlights and more.
02. Sign it in a few clicks
Draw your signature, type it, upload its image, or use your mobile device as a signature pad.
03. Share your form with others
Send medical contraindication form via email, link, or fax. You can also download it, export it or print it out.

How to use or fill out Michigan Documents MDHHS with our platform

Form edit decoration
9.5
Ease of Setup
DocHub User Ratings on G2
9.0
Ease of Use
DocHub User Ratings on G2
  1. Click ‘Get Form’ to open the Michigan Medical Contraindication Form in the editor.
  2. Begin by filling in the required fields. Enter the child's name, date of birth, and parent/guardian's name clearly.
  3. Provide the home address and telephone number for contact purposes.
  4. Specify the preschool program, childcare center, or school name where the child is enrolled.
  5. Indicate which immunizations are medically contraindicated by checking the appropriate boxes.
  6. In the 'Reason for exemption' section, provide a brief explanation as required.
  7. Fill in the date until which the exemption shall continue.
  8. Complete physician details including their name, office address, and telephone number.
  9. Ensure that the physician signs and dates the form before submission.

Start using our platform today to easily complete your Michigan documents for free!

See more michigan documentsmdhhsGRETCHEN WHITMER DEPARTMENT OF HEALTH AND HUMAN SERVICES versions

We've got more versions of the michigan documentsmdhhsGRETCHEN WHITMER DEPARTMENT OF HEALTH AND HUMAN SERVICES form. Select the right michigan documentsmdhhsGRETCHEN WHITMER DEPARTMENT OF HEALTH AND HUMAN SERVICES version from the list and start editing it straight away!
Versions Form popularity Fillable & printable
2024 4.3 Satisfied (45 Votes)
2022 4.6 Satisfied (63 Votes)
2021 4.5 Satisfied (31 Votes)
2020 4.1 Satisfied (40 Votes)
2016 4 Satisfied (57 Votes)
be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.
Contact us
Elizabeth Hertel - Secretary - Michigan Department of Health Human Services | LinkedIn.
A person is not eligible to the office of governor or lieutenant governor unless the person has attained the age of 30 years and has been a registered and qualified elector in this state for 4 years next preceding his or her election, as provided in section 22 of article V of the state constitution of 1963.
Democratic Party Gretchen Whitmer / Party
Robert F. Kennedy, Jr. is the 26th Secretary of the U.S. Department of Health and Human Services.
MDHHS services include: food assistance, cash assistance, child care, medical assistance, home weatherization, utility assistance, burial services, child support, foster care and adoption, abuse and neglect.

People also ask

How do I file a complaint against a DHS worker in Michigan? If you have questions about filing a complaint, please call 517-335-7599. In-state residents can also call 877-765-8388.
Elizabeth Hertel is the director of the Michigan Department of Health and Human Services.
Gretchen Esther Whitmer (/ˈhwɪtmər/; born August 23, 1971) is an American lawyer and politician serving as the 49th governor of Michigan since 2019. A member of the Democratic Party, she served in the Michigan House of Representatives from 2001 to 2006 and in the Michigan Senate from 2006 to 2015.

Related links