Immunization Exemption Form Pdf Minnesota. A doctor of medicine (md), doctor of osteopathy (do), physician assistant. (a) an immunization listed in subdivision 2 is not required if the student submits to the administrator a statement signed by a physician that shows:.
Web a list of places in minnesota where exemption forms can be notarized. Minnesota statutes, section 121a.15 health standards; An immunization may not be medically advisable for certain persons.
Have A Physician Sign The Form For A Medical Exemption.
If this applies to you or if you have had any of these diseases, complete part 3 of the. A doctor of medicine (md), doctor of osteopathy (do), physician assistant. Recent minnesota high school graduate exemption students who graduated from a minnesota high school in 1997 or later are exempt.
If There Are Exemptions To More Than.
Diseases or file a legal medical or conscientious exemption. Web minnesota law requires children enrolled in school to be immunized against certain. Please keep a copy for your records.
135A.14) Requires Proof That All Students Born After 1956 Are.
Web document medical exemptions (including a history of varicella disease) and 2b to document a conscientious exemption. Minnesota law requires all students born after december 31, 1956, who enroll in a minnesota college or university. Web worksheet for children 24 months and older (pdf) child care immunization data.
If This Applies To You, Complete Part.
135a.14) requires that all students born after 1956 are vaccinated against diphtheria, tetanus, measles, mumps, and rubella, allowing for certain specified. An immunization may not be medically advisable for certain persons. If this applies to you, complete part.
Web Find My Immunization Record.
Web print out and complete a hard copy (pdf) of the immunization form if you have the following exemptions (see form for details): Students who graduated from a minnesota high school in 1997 or later are exempt. Minnesota statutes, section 121a.15 health standards;