[PDF] Student Immunization Form - Minnesota Dept of Health
Additional exemptions: • Children 7 years of age and older: A history of 3 doses of DTaP/DTP/DT/Td/Tdap and 3 doses of polio vaccine meets the minimum
[PDF] Minnesota Conscientious Exemption to Vaccination - Vaccine Safety
are exercising our rights under the First Amendment of the US Constitution and Minnesota Statutes: 121A 15 Health Standards; Immunizations; School Children;
[PDF] Immunization Record Form - MN Dept of Health - Trinity School at
to your doctor or call the Minnesota Immunization Information Connection (MIIC) at this form • Document medical and/or non-medical exemptions in section 1
[PDF] Child Care Immunization Form - Minnesota Dept of Health
Minnesota law requires children enrolled in child care to be immunized against certain diseases or file a legal medical or conscientious exemption Parent/
[PDF] Immunization Record Form - MN Dept of Health
Sign or get the signatures needed for the back of this form • Document medical and/or non-medical exemptions in section 1 • Verify history of varicella disease in
[PDF] Child Care Provider Information for Minnesotas Immunization Law
They also pose a risk to the health of other children in your care Immunization requirements Child care and early childhood program providers must have records
[PDF] Immunization Form - Minnesota Department of Health
Immunizations required for child care, early childhood programs, and school Name Birthdate Document medical and/or non-medical exemptions in section 1
[PDF] Pupil Immunization Record - Perham-Dent Public Schools
Medical exemption for Developed by the Minnesota Department of Health - Immunization Program (11/11) #140-0155 minimum requirements of the law
[PDF] Immunization Record for Students Attending Post-Secondary
I have previously met the MMR (measles, mumps, rubella) and Td (tetanus, diphtheria) requirements because I graduated from a Minnesota high school in 1997
[PDF] Child Care Immunization Record - Minnesota Dept of - Playworks
This or another form documenting immunizations or an exemption must be kept on file with the child care provider Electronic immunization records are an
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