Form 3231-2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering the child's name in the designated field, ensuring you follow the format of last name first.
  3. Fill in the parent/guardian's name, again using the last name first format. This is crucial for identification purposes.
  4. Complete the immunization history section by entering dates for each vaccine received. Remember, dates are required for children aged 4 years and older.
  5. If applicable, indicate any exemptions by filling in the appropriate sections regarding natural immunity or medical exemptions.
  6. Ensure that a licensed physician or health department official certifies the document by providing their printed name, address, and telephone number.
  7. Finally, sign and date the certificate to validate it. Make sure all required fields are completed before saving your document.

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Religious Exemption Affidavit of Religious Objection to Immunization, Form 2208 is required. After completion of the affidavit, the parent or legal guardian must have the form filed with the school or childcare facility the child will be attending as legal documentation of exemption from the required immunizations.
Georgia law allows for two types of exemptions from the immunization requirements: medical and religious. Each child must have one of two items on fileeither a valid Georgia Immunization Certificate (Form 3231) or a signed, notarized statement, which is called an affidavit of religious exemption.
Only county health departments and physicians licensed in Georgia can provide immunization certificates (Form 3231).
You can request a copy of your immunization records online at no cost through the Georgia Department of Public Health. Your healthcare provider or local public health department may also be able to provide you with a copy of your immunization records.
Ask your doctor, pharmacist or other vaccine provider for an immunization record form or download and use this form [4 pages]. Bring this record with you to health visits, and ask your vaccine provider to sign and date the form for each vaccine you receive.

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You can request a copy of your immunization records online at no cost through the Georgia Department of Public Health.
To begin a TN immunization record request, please call the TDH at (615) 741-7247 and provide the following information about the person whose record is needed: Individuals full name (first, middle, and last name)

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