vaccine waiver form
MINOR CONSENT TO MEDICAL TREATMENT LAWS
This compilation includes state, District of Columbia, and territory statutes as of January 2013 regarding minor consent laws to medical treatment.
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Vaccination Exemption Form
Please have a licensed medical provider complete the. Medical Certification for Vaccine Exemption form and submit a copy along with this form. Religious: As
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Medical Immunization Exemption Certificate
Instructions for completing a Medical Immunization Exemption Certificate Please provide name, address, vaccine contraindication(s), signature and date.
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