Colorado immunization exemption 2025

1. Click ‘Get Form’ to open the Colorado Immunization Exemption in our editor.
2. Begin by filling out the 'Student Information' section. Enter the student's last name, first name, middle name (if applicable), date of birth, gender, address, city, state, zip code, county, email address, and phone number.
3. Next, complete the 'Parent/Guardian Completing This Form' section. Provide the last name, first name, middle name (if applicable), relationship to the student, address, city, state, zip code, email address, and phone number of the parent or guardian.
4. In the 'School/Licensed Child Care Facility Information' section, enter the school or facility's name and address. If not applicable, check the corresponding box.
5. Indicate which required vaccines are being declined by checking each relevant box. For each vaccine declined, list any medical contraindications in the provided space.
6. Finally, ensure that a physician (MD/DO), Advanced Practice Nurse (APN), or delegated Physician Assistant (PA) signs and dates the form to validate it.

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