Yellow fever exemption letter template 2025

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  1. Click ‘Get Form’ to open the yellow fever exemption letter template in the editor.
  2. Begin by entering your personal information at the top of the form, including your full name, address, and contact details. This ensures that the document is personalized and easily identifiable.
  3. In the section regarding medical grounds for exemption, clearly state the reason for your exemption. Choose from contraindications, precautions, or situations with no risk of disease transmission as applicable.
  4. Include any relevant medical history or conditions that support your request for an exemption. This may include allergies or other health concerns that make vaccination inadvisable.
  5. Finally, ensure that a supervising clinician reviews and signs the letter. Their signature validates your request and provides authority to the document.

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What to know. Yellow fever regularly occurs (is endemic) in several countries in Africa. Vaccination is recommended for most travelers aged 9 months and older traveling to areas at risk for yellow fever.
If you are aged 60 years or older and are travelling to countries where there is a low potential for exposure to yellow fever you should not have yellow fever vaccine. In these instances, due to a higher risk of life-threatening side effects in this age group, yellow fever vaccine is not recommended.
How to Fill Out an Exemption (Medical Waiver) Complete and sign the Medical Contraindications to Vaccination section of the ICVP. Yellow fever vaccine providers should validate medical exemptions to yellow fever vaccination using the Uniform Stamp of the yellow fever vaccination center.
Entry requirements: Required for travelers 9 months old arriving from countries with risk for YF virus transmission; this includes 12-hour airport transits or layovers in countries with risk for YF virus transmission. Entry will be denied if a valid vaccination certificate cannot be provided.
If you need a vaccination certificate for the country youre visiting but youre not able to have the vaccine, contact a yellow fever vaccination centre. They may provide you with an exemption letter, which may be accepted by officials in countries that usually require a vaccination certificate.
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The most popular countries where yellow fever vaccination is required or recommended are: Argentina. Brazil. Gabon. Ghana. Kenya. Peru. Tanzania.

yellow fever waiver form