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(HBV) infections. I understand that I must either provide evidence of immunization (3 injection series) or sign this waiver releasing the University and clinical agencies from any responsibility should I contract Hepatitis B. I release Southeastern Louisiana University or any agency in which I attend internship experiences of any responsibility for any consequences of this decision. Name W number Signature Date Witness Date.

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INDIANA CODE § 20-34-3-2 Religious objections (a) Except as otherwise provided, a student may not be required to undergo any testing, examination, immunization, or treatment required under this chapter or IC 20-34-4 when the child's parent objects on religious grounds.

Immunization Waivers To obtain a medical waiver, please make an appointment with your health care provider and have them complete a Medical Contradiction Form. To obtain a non-medical waiver, you will need to make an in-person appointment with a Mid-Michigan District Health Department nurse.

Section 3313.671, part (3): A pupil who presents a written statement of his parent or guardian in which the parent or guardian objects to the immunization for good cause, including religious convictions, is not required to be immunized.

Employers and employees who, in following the tenets of their religion, object to the payment and acceptance of insurance benefits can apply to be exempt from workers' compensation coverage in Ohio.

The exemptions to the CMS COVID-19 vaccination requirement are: Reasonable accommodation for a disability (for example, certain allergies or recognized medical conditions) or a sincerely held religious belief, observance, or practice; or. Medical exemption due to a physician-verified clinical contraindication.

Ohio Revised Code 3313.671 Proof of required immunizations - exceptions. (B) (4) A pupil who presents a written statement of the pupil's parent or guardian in which the parent or guardian declines to have the pupil immunized for reasons of conscience, including religious convictions, is not required to be immunized.

Ohio Allows Vaccine Exemptions for K-12. The state of Ohio has 3 types of exemptions: Medical and Reasons of Conscience, including Religious convictions. Medical exemptions require a signature from a licensed physician in the state of Ohio.

Children with medical or religious exemption to requirements The medical reason for the exemption does not need to be provided. Religious – This exemption requires a signed statement by the parent/guardian that vaccination conflicts with their religious tenets or practices.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232