To receive a vaccine exemption, the first step is to contact the school or business that has the vaccine mandate. What immunization exemptions are allowed?2 types of exemptions: 1. The Ohio Department of Health (ODH) Immunization Program seeks to prevent 17 vaccine-preventable diseases (listed below) with currently available vaccines. All states allow exemptions from school immunization requirements for children who are unable to receive vaccines for medical reasons. All of the immunization requirements. A physician must sign an exemption form indicating the vaccines that are included in the medical exemption. 1. Gather your child's information and the reason for exemption. Upload your documentation for your vaccinations. Cleveland Clinic Standing Clinics.