Arkansas Vaccine Exemption Form

Arkansas state law requires vaccine exemptions to be online by December 1st

Arkansas Vaccine Exemption Form. Web this website allows you to submit an application for exemption. The person requesting the shot record must be a responsible party on record.

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. 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. The person requesting the shot record must be a responsible party on record. Web you must print the immunization exemption form, then sign, notarize, and return it to the immunization program in order to complete your immunization exemption. 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,. Web shot record request form: Web the arkansas department of health is authorized by act 999 of 2003 to grant individual exemptions from the immunization requirements. 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: An application requesting an exemption must be submitted for each child or student. You can also visit the local health unit in your county note: How do i get a medical exemption for my child to not get an immunization? 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. Web the arkansas department of health is authorized by act 999 of 2003 to grant individual exemptions from the immunization requirements. Web you must print the immunization exemption form, then sign, notarize, and return it to the immunization program in order to complete your immunization exemption. Web by checking the box below, i am requesting an exemption from this vaccine. The application may be completed by parents or guardians of students or by students who are 18 years of age or older. Web this website allows you to submit an application for exemption. 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.