State Of NH Form.pdf

imm-cert-religious-exemption.pdf
Preview of State of NH Form
🔗 Source: dhhs.nh.gov
📊 Size: 1.46 MB
👤 Author: cheryl.j.storey
⬇️ Downloads: 40

Summary

New Hampshire Childcare/School Immunization Religious Exemption Form requires a parent/legal guardian or student (if 18+) to complete, sign, and date the form, maintaining a copy and submitting it to each childcare/school attended, stating that immunizations conflict with their religious beliefs, and understanding that an exempt student may be excluded from school in the event of a vaccine-preventable disease outbreak.

Description

New Hampshire Childcare/School Immunization Religious Exemption Form requires a parent/legal guardian or student (if 18+) to complete, sign, and date the form,...

Technical Information

  • File Format: PDF
  • File Size: 1.46 MB
  • Pages: 1
  • Language: EN
  • Author: cheryl.j.storey
  • Total Downloads: 40
  • Last Updated: 1 week ago

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