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![]() Parents can sign for history of disease for varicella. To submit immunity documentation for a child, the parent must have a letter or lab test from a licensed physician stating: Immunity documentation is not acceptable for diphtheria, tetanus, pertussis or polio. Immunity documentation is acceptable for history of disease or positive titer (blood test) for hepatitis B, hepatitis A, Hib, MMR or varicella. If a person can show immunity to certain diseases they do not need to provide vaccination dates. To claim a nonmedical exemption for children in child care, preschool, K-12, or college, visit /vaccineexemption. Some people choose not to vaccinate for personal, religious, or philosophical reasons and they can claim a nonmedical exemption to some or all immunizations. Physician’s contact information including the phone number.Approximate time until the condition resolves, if applicable.Medical condition that contraindicates vaccine.To apply for a medical exemption for a child, the parent must submit to the school or child care a letter signed by a licensed physician stating: ![]() With a permanent medical exemption, the child will never be required to receive the vaccine. Temporary medical exemptions are given an expiration date after which the child will need to receive the vaccine, or the physician will need to write a request for an extension for re-review by the local health department. There are two kinds of medical exemptions, temporary and permanent. Physicians can sign medical exemptions for children with valid contraindications and precautions to an immunization as determined by the Advisory Committee on Immunization Practices. Some people cannot get immunized because of a medical reason.
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