Printable California School Immunization Exemption Form Complete the vaccine and dose section using information from the pupil s immunization record provided by a parent or guardian prior school or an immunization registry Record the date month day year of each dose the pupil has received even if the pupil has an exemption to one or more required vaccines Any vaccine given four or fewer
Detailed Steps to Request a Medical Exemption Go to the CAIR ME web site https cair cdph ca gov exemptions home In your browser settings make sure pop ups are enabled for the CAIR ME site Click the Register button on the top right hand corner of the home page Complete the Documentation and Status of Requirements box Fill in date and your signature as the staff member who reviewed and transcribed the immunization record presented by the parent or guardian Check which type of record was presented If the child has met all immunization requirements check box A and write in date
Printable California School Immunization Exemption Form
Printable California School Immunization Exemption Form
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Exemptions from immunization requirements 2 Complete a California School Immunization Record CSIR Blue Card CDPH 286 for each child Many children have their immunization records in the California Immunization Registry CAIR which can print out filled Blue Cards If you are instead completing the Blue Card by hand Of the student and others 17 CCR 6060 I hereby request exemption of the student named above from the required immunizations checked below because such immunization is contrary to my beliefs School Category Table of Required Immunizations Check box es to request exemption Child Care Only Haemophilus influenzae type b Hib meningitis
How to File for Medical Exemptions Background Effective January 1 2021 the passage of Senate Bills SB 276 and 714 require California physicians MD and DO to file new immunization Medical Exemptions ME electronically on the California Immunization Registry CAIR Medical Exemption web portal CDPH CAIR ME This policy applies to all Pre These vaccination laws often apply not only to children attending public schools but also to those attending private parochial and other types of schools 1 State laws also offer exemptions to school vaccination requirements including medical religious and philosophical exemptions or some combination of these exemptions 2
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En Espa ol News The Immunization Reporting website is OPEN Find links to the new website and resources on the Reporting page Reports must be submitted by December 22 2023 2023 2024 Audits Annual financial and compliance au dits of public schools will include an immunization component for schools with kindergarten or 7th grade What is an Exemption and What Does it Mean Exemptions from state or local requirements may apply to some children All states and the District of Columbia allow a medical exemption A medical exemption is allowed when a child has a medical condition that prevents them from receiving a vaccine
Los Angeles County Department of Public Health publichealth lacounty gov ip REDIRECT Los Angeles County Department of Public Health Vaccine Preventable Disease Control Program No U S federal vaccination laws exist but all 50 states have laws requiring children attending public school to be vaccinated against diphtheria tetanus and pertussis generally in a DTaP vaccine polio an IPV vaccine measles and rubella generally in an MMR vaccine and varicella chickenpox
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https://www.cdph.ca.gov/Programs/CID/DCDC/CDPH%20Document%20Library/Immunization/CDPH-286.pdf
Complete the vaccine and dose section using information from the pupil s immunization record provided by a parent or guardian prior school or an immunization registry Record the date month day year of each dose the pupil has received even if the pupil has an exemption to one or more required vaccines Any vaccine given four or fewer
https://www.cdph.ca.gov/Programs/CID/DCDC/CDPH%20Document%20Library/Immunization/IMM-1363.pdf
Detailed Steps to Request a Medical Exemption Go to the CAIR ME web site https cair cdph ca gov exemptions home In your browser settings make sure pop ups are enabled for the CAIR ME site Click the Register button on the top right hand corner of the home page
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