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Medical exemptions for required immunizations will only be granted upon submission of either a Medical Exemption Statement (DHHS 3987) or Physicians Request for Medical Exemption (DHHS 3995). Both of these exemptions require a signature by a Physician in North Carolina.
In order to claim a religious exemption, the student requesting the exemption must write a statement of their religious objection to immunization, including the name and date of birth. This statement should be provided to the school in place of an immunization record.
North Carolina law requires the following immunizations for students: 5 DTP/DTaP (Diphtheria, Tetanus, Whooping Cough) If the fourth dose is on or after the fourth birthday, a fifth dose is not required. 4 Polio \u2013 IPV. ... 1 HIB (Haemophilus Influenza B) ... 2 Measles. ... 2 Mumps. ... 1 Rubella. ... 3 Hepatitis B. ... 2 Varicella (Chicken Pox)
In North Carolina, children are not allowed to attend school (whether public, private, or religious) or a childcare facility, unless they have received all immunizations appropriate for their age.
Medical exemptions can only be requested by a physician licensed to practice medicine in North Carolina. If a physician determines the need to request a medical exemption from a required immunization for a patient and needs assistance, they should contact the North Carolina Immunization Branch at (919) 707-5550.
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In order to claim a religious exemption, the student requesting the exemption must write a statement of their religious objection to immunization, including the name and date of birth. This statement should be provided to the school in place of an immunization record.

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