Get Pdf Format - Texas Department Of State Health Services - Dshs State Tx

Filling out the Request for Exemption from Immunizations for Reasons of Conscience is an important process for families seeking exemptions for their children. This guide provides clear, step-by-step instructions to assist you in completing this form online.

Follow the steps to complete your exemption request.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering the date at the top of the form. Ensure it is filled out in the format mm/dd/yyyy.
3. Print or type the name and date of birth for each child for whom you are requesting exemptions. You will need to list a maximum of five forms per child.
4. In the 'Name of Parent/Legal Guardian' section, provide your full name.
5. Fill out the 'Mailing address' section, including apartment number (if applicable), city, state, and zip code.
6. Provide your telephone number in the designated area. This is necessary if you are submitting your request by fax and for any potential follow-up.
7. Sign the form in the 'Signature of Parent or Legal Guardian' field to authorize the request.
8. List each child's first name, middle name, last name, and birth date in the respective sections provided in the form.
9. Indicate the number of forms needed for each child in the designated field.
10. Finally, review the completed form for accuracy. You can then save changes, download, print, or share the form as needed.

Complete your exemption documents online today to ensure timely processing.