Form 139 Medical Exemption Request - Mississippi

What Is Form 139?

This is a legal form that was released by the Mississippi Department of Health - a government authority operating within Mississippi. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

• Released on January 3, 2023;
• The latest edition provided by the Mississippi Department of Health;
• Easy to use and ready to print;
• Quick to customize;
• Compatible with most PDF-viewing applications;
• Fill out the form in our online filing application.

Download a fillable version of Form 139 by clicking the link below or browse more documents and templates provided by the Mississippi Department of Health.