Form 139 IMM Medical Exemption Request - Mississippi

What Is Form 139 IMM?

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.

FAQ

Q: What is Form 139 IMM?
A: Form 139 IMM is a Medical Exemption Request form in Mississippi.

Q: What is the purpose of Form 139 IMM?
A: Form 139 IMM is used to request a medical exemption from immunization requirements in Mississippi.

Q: Who needs to use Form 139 IMM?
A: Individuals seeking a medical exemption from immunization requirements in Mississippi should use Form 139 IMM.

Q: What information is required on Form 139 IMM?
A: Form 139 IMM requires information such as the individual's name, date of birth, medical condition, and supporting documentation from a healthcare provider.

Q: Are all medical exemption requests granted?
A: Not all medical exemption requests are automatically granted; they are evaluated on a case-by-case basis.

Q: How long does it take to process a medical exemption request?
A: The processing time for a medical exemption request can vary, but it is typically within a few weeks.

Q: Can I appeal a denial of a medical exemption request?
A: Yes, individuals have the right to appeal a denial of a medical exemption request in Mississippi.

Q: Are there any fees associated with Form 139 IMM?
A: There are no fees associated with submitting Form 139 IMM in Mississippi.