Any religious exemptions must be presented in writing to the school. North Carolina law provides for two types of exemptions from required immunizations.They are medical and religious. North Carolina law requires all children in the state to receive certain immunizations. Records are checked when children enter school or child care. For vaccines other than back-to-school immunizations, fill out the online appointment request form. Birthdate — All students born prior to January 1, 1957 are exempt. First download the form and then follow the steps to fill out a health coverage exemption application.