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Student Medical Exemption Certificate for Required Immunizations - Connecticut
Student Medical Exemption Certificate for Required Immunizations is a legal document that was released by the Connecticut State Department of Public Health - a government authority operating within Connecticut.
FAQ
Q: What is a Student Medical Exemption Certificate?
A: A Student Medical Exemption Certificate is a document that allows students in Connecticut to be exempted from required immunizations for medical reasons.
Q: Who can apply for a Student Medical Exemption Certificate?
A: Parents or guardians of a student can apply for a Student Medical Exemption Certificate.
Q: What are the requirements for obtaining a Student Medical Exemption Certificate?
A: In order to obtain a Student Medical Exemption Certificate, a medical professional must complete and sign the certificate, indicating the medical condition that warrants the exemption.
Q: What types of medical conditions can qualify for a Student Medical Exemption Certificate?
A: Medical conditions that can qualify for a Student Medical Exemption Certificate include a history of severe allergic reaction to a vaccine component, immune system disorders, or other medical contraindications.
Q: How long is a Student Medical Exemption Certificate valid for?
A: A Student Medical Exemption Certificate is valid for one school year. It must be renewed annually.
Q: Can a Student Medical Exemption Certificate be revoked?
A: Yes, a Student Medical Exemption Certificate can be revoked if it is discovered that the medical information provided was false or misleading.
Form Details:
- Released on March 1, 2023;
- 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;
- Fill out the form in our online filing application.
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.
Download Student Medical Exemption Certificate for Required Immunizations - Connecticut
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