671 (Exemptions) 2025

1. Click ‘Get Form’ to open the 671 (Exemptions) document in the editor.
2. Begin by entering your child’s name in the designated field at the top of the form.
3. Select the applicable exemption type: Religious, Good Cause, or Medical. If you choose Religious, consider attaching a statement from your religious leader.
4. For Good Cause exemptions, provide a brief explanation in the space provided or attach an additional page if necessary.
5. If opting for a Medical exemption, ensure you have a signed statement from your physician detailing the medical condition and attach it to this form.
6. Indicate which vaccinations you are requesting an exemption for by checking the appropriate boxes listed on the form.
7. Finally, sign and date the form at the bottom as a parent or guardian before submitting it to your school.

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