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Get Printable Religious Vaccine Exemption Form 2016-2024

Ts a written statement of the pupil s parent or guardian in which the parent or guardian declines to have the pupil immunized for reasons of conscience, including religious convictions, is not required to be immunized. Section 3313.671, B part (5): A child whose physician certifies in writing that such immunization against any disease is medically contraindicated is not required to be immunized against that disease. I, the parent or guardian of the below named child, hereby object to the follo.

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