Hawaii department of health vaccine exemption form 2026

1. Click ‘Get Form’ to open the Hawaii Department of Health Vaccine Exemption Form in our platform.
2. Begin by entering your name as the parent, guardian, or person in loco parentis in the designated field.
3. Next, input your child's name in the corresponding section to certify that vaccination is against your religious beliefs.
4. Select the vaccines for which you are requesting an exemption by checking the appropriate boxes. Options include Diphtheria, Tetanus, Pertussis, and others listed.
5. Sign and date the form at the bottom where indicated. Ensure that both parents sign if applicable.
6. Finally, have the form notarized as required before submitting it to your child’s school administrator.

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