PDF
Word
Medical Exemption Certification Statement - Connecticut (Polish)
This is a legal document that was released by the Connecticut State Department of Public Health - a government authority operating within Connecticut.
The document is provided in Polish.
FAQ
Q: What is a Medical Exemption Certification Statement?
A: A Medical Exemption Certification Statement is a document that certifies that an individual has a medical condition that prevents them from wearing a face mask or face covering.
Q: Who issues the Medical Exemption Certification Statement in Connecticut?
A: The Medical Exemption Certification Statement is issued by a licensed healthcare provider in Connecticut.
Q: Can anyone get a Medical Exemption Certification Statement?
A: No, only individuals with a medical condition that prevents them from wearing a face mask or face covering can get a Medical Exemption Certification Statement.
Q: Do I need a Medical Exemption Certification Statement to be exempt from wearing a face mask in Connecticut?
A: Yes, in Connecticut, you are required to have a Medical Exemption Certification Statement if you are unable to wear a face mask due to a medical condition.
Form Details:
- Released on April 1, 2011;
- The latest edition currently provided by the Connecticut State Department of Public Health;
- Ready to use and print;
- Easy to customize;
- Compatible with most PDF-viewing applications;
Download a printable version of the form by clicking the link below or browse more documents and templates provided by the Connecticut State Department of Public Health.
