Religious Exemption Letter Printable Immunization Exemption Form
Nc Immunization Exemption Form. To provide physicians licensed to practice medicine in north carolina with a mechanism to request a medical exemption to a required immunization(s), pursuant to g.s. Web instructions complete and sign the form.
Religious Exemption Letter Printable Immunization Exemption Form
Web north carolina law provides for two types of exemptions from required immunizations. Restitution required when vaccine spoiled due to provider negligence. Web nc medical exemption statement form dhhs 3987 purpose: Physician’s request for medical exemption (pdf, 136 kb) (dhhs 3995) Medical exemption (pdf, 170 kb) (dhhs 3987) use this form for true contraindications, i.e. Those recognized by the commission for public health. Web instructions complete and sign the form. Web included are the following: Web like all states, north carolina provides for medical exemptions from immunizations. Retain a copy for the patient’s file.
Web nc medical exemption statement form dhhs 3987 purpose: Web north carolina law provides for two types of exemptions from required immunizations. They are medical and religious. Provide documentation to support the request (clinic notes, labs, etc). Web like all states, north carolina provides for medical exemptions from immunizations. Those recognized by the commission for public health. Both of these exemptions require a signature by a physician in north carolina. Physician’s request for medical exemption (pdf, 136 kb) (dhhs 3995) Submission of certificate to college or universities. Web included are the following: Restitution required when vaccine spoiled due to provider negligence.
