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Immunization Exemption Form 2026
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- Click ‘Get Form’ to open the Immunization Exemption Form in our editor.
- Begin by entering your name in the designated fields for last, first, and middle names.
- Input your date of birth in the format mm/dd/yyyy to ensure accurate processing.
- Provide your GSU Student ID number to help identify your records.
- Fill in your phone number for any necessary follow-up communication.
- Enter the date of your request to document when you are submitting this form.
- Select the reason for your exemption by checking the appropriate box based on your enrollment status.
- Ensure that you obtain your advisor’s signature and date it accordingly, as this is required every semester.
- Finally, sign and date the form yourself before submission.
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Related links
my child may be excluded from child care facilities or schools during an epidemic or threatened epidemic of any disease preventable by a vaccination
Beginning September 1, 2025, blank immunization exemption affidavit forms may be downloaded from the Department of State Health Services (DSHS) website. TheRead more