Arkansas Vaccine Exemption Form. A physician statement outlining medical reasons for an exemption of a specific immunization is to be submitted to the medical director of the communicable disease/immunization section with the exemption form. You can also visit the local health unit in your county note:
Blinded by the Light Vaccine Exemption Form
The person requesting the shot record must be a responsible party on record. Arkansas law requires all students attending arkansas schools and licensed childcare facilities to be vaccinated against certain diseases, unless an official exemption form is filed. You can also visit the local health unit in your county note: Dtap hib hepatitis a hepatitis b measles, mumps, & rubella meningococcal acwy pneumococcal conjugate (pcv13) polio td (tetanus,. When are flu shots needed and where do i get them? Web arkansas administrative rules 005.15.010 immunization requirements 5.03 religious exemptions 5.03.4 in addition to the general requirements found in section 5.01, the department of health, immunization section's standard form for religious exemptions must be submitted to the immunization section. Web the arkansas department of health is authorized by act 999 of 2003 to grant individual exemptions from the immunization requirements. The application may be completed by parents or guardians of students or by students who are 18 years of age or older. Web by checking the box below, i am requesting an exemption from this vaccine. I have read the vaccine information statement and understand by not receiving the tdap vaccine, the student listed here is at risk of pneumonia, whooping cough, seizures, inflammation of the brain, serious neurological complications, and death.
An application requesting an exemption must be submitted for each child or student. Web by checking the box below, i am requesting an exemption from this vaccine. Web the arkansas department of health is authorized by act 999 of 2003 to grant individual exemptions from the immunization requirements. Web arkansas administrative rules 005.15.010 immunization requirements 5.03 religious exemptions 5.03.4 in addition to the general requirements found in section 5.01, the department of health, immunization section's standard form for religious exemptions must be submitted to the immunization section. A physician statement outlining medical reasons for an exemption of a specific immunization is to be submitted to the medical director of the communicable disease/immunization section with the exemption form. When are flu shots needed and where do i get them? Web this website allows you to submit an application for exemption. Dtap hib hepatitis a hepatitis b measles, mumps, & rubella meningococcal acwy pneumococcal conjugate (pcv13) polio td (tetanus,. You can also visit the local health unit in your county note: Arkansas law requires all students attending arkansas schools and licensed childcare facilities to be vaccinated against certain diseases, unless an official exemption form is filed. An application requesting an exemption must be submitted for each child or student.
