COMMONWEALTH OF KENTUCKY CERTIFICATE OF MEDICAL EXEMPTION 2025

Get Form
religious immunization exemption form Preview on Page 1

Here's how it works

01. Edit your religious immunization exemption form online
Type text, add images, blackout confidential details, add comments, highlights and more.
02. Sign it in a few clicks
Draw your signature, type it, upload its image, or use your mobile device as a signature pad.
03. Share your form with others
Send religious exemption form for vaccines via email, link, or fax. You can also download it, export it or print it out.

How to use or fill out COMMONWEALTH OF KENTUCKY CERTIFICATE OF MEDICAL EXEMPTION with DocHub

Form edit decoration
9.5
Ease of Setup
DocHub User Ratings on G2
9.0
Ease of Use
DocHub User Ratings on G2
  1. Click ‘Get Form’ to open the COMMONWEALTH OF KENTUCKY CERTIFICATE OF MEDICAL EXEMPTION in our editor.
  2. Begin by entering the child's name and birthdate in the designated fields. Ensure accuracy as this information is crucial for identification.
  3. Next, fill in the name of the parent or guardian along with their address. This section helps establish who is responsible for the child’s medical records.
  4. Indicate any specific health conditions that contraindicate vaccinations by listing them clearly in the provided space.
  5. For each required vaccine, enter the dates when immunizations were administered. Use the format Month/Day/Year for consistency.
  6. Complete the certification section by having a licensed healthcare provider sign and date the form, ensuring it meets all legal requirements.
  7. Finally, save your completed document and share it with your child’s school or facility as needed.

Start using our platform today to easily complete your COMMONWEALTH OF KENTUCKY CERTIFICATE OF MEDICAL EXEMPTION for free!

See more COMMONWEALTH OF KENTUCKY CERTIFICATE OF MEDICAL EXEMPTION versions

We've got more versions of the COMMONWEALTH OF KENTUCKY CERTIFICATE OF MEDICAL EXEMPTION form. Select the right COMMONWEALTH OF KENTUCKY CERTIFICATE OF MEDICAL EXEMPTION version from the list and start editing it straight away!
Versions Form popularity Fillable & printable
2010 4.8 Satisfied (24 Votes)
be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.
Contact us
All states allow exemptions from school immunization requirements for children who are unable to receive vaccines for medical reasons. State laws vary regarding non-medical exemptions, for religious or personal reasons. Personal exemptions are also referred to as philosophical exemptions by some states.
Without vaccines, your child is at risk for getting seriously ill and suffering pain, disability, and even death from diseases like measles and whooping cough.
Required Immunizations in Kentucky For kindergarten entry, all children at least 5 years of age must have: Five doses of DTaP or DTP (diphtheria, tetanus, pertussis) or combinations of the two vaccines. Four doses of IPV or OPV (polio) or combinations of the two vaccines. Three doses of hepatitis B.
Required Immunizations in Kentucky For kindergarten entry, all children at least 5 years of age must have: Five doses of DTaP or DTP (diphtheria, tetanus, pertussis) or combinations of the two vaccines. Four doses of IPV or OPV (polio) or combinations of the two vaccines.
The following health care services and institutions fall under the regulatory responsibility of Kentuckys Certificate of Need laws: hospitals (including psychiatric and physical rehabilitation), substance use disorder facilities, nursing homes and retirement communities, intermediate care, personal and family care
be ready to get more

Complete this form in 5 minutes or less

Get form

People also ask

KRS 214.036 requires parents who object to immunization of their child to provide a written sworn statement objecting to immunization of the child on religious grounds. Place an X in a box or boxes to the left of each disease, listed below, for which you object to your child receiving the immunization.
Medical Exemptions: The state form, EPID 230 the Kentucky Certificate of Immunization Status, contains a checkbox for Medical Exemption. This is the same form used to document all vaccines that a child has received. ​The form can be signed by a physician, APRN, PA, pharmacist, LHD administrator, RN or LPN designee.
Kentucky currently has no state laws that apply to vaccinations in the workplace. However, there are two types of workplace exemptions under federal law: medical exemptions and religious accommodations/exemptions.

Related links