Statement of Medical Exemption – Immunization of School Pupils Act

A physician or nurse practitioner must complete a Statement of Medical Exemption for children who require a medical exemption from vaccine requirements under the Immunization of School Pupils Act.

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Form Number 014-4895-64
Title Statement of Medical Exemption – Immunization of School Pupils Act
Description A physician or nurse practitioner must complete a Statement of Medical Exemption for children who require a medical exemption from vaccine requirements under the Immunization of School Pupils Act.