Get Physical Examination And Immunization Waiver Form - Bridge Cps

Filling out the PHYSICAL EXAMINATION And IMMUNIZATION WAIVER FORM is essential for students with specific health objections regarding immunizations or physical exams. This guide provides a clear, structured approach to completing the form online, ensuring that you provide all necessary information accurately.

Follow the steps to complete the form successfully.

1. Press the ‘Get Form’ button to access the form and open it in your online document editor.
2. Begin by entering your name in the space provided for the parent or legal guardian. Ensure that you print your name clearly.
3. Next, provide your child's name and date of birth in the designated fields. This information is critical for the processing of the waiver.
4. Indicate which immunizations and/or physical exam you object to by placing an 'X' in the appropriate boxes provided on the form. Make sure to review the list carefully.
5. If your objection is based on religious reasons, attach a personal statement outlining your beliefs that prohibit immunization and/or physical exams. Ensure that this statement is clear and legible.
6. If your objection is due to medical reasons, you must attach a physician's statement specifying the medical condition that prevents immunization. This document is imperative for your waiver's acceptance.
7. Review all the information entered in the form for accuracy. Ensure that all required documents are attached before finalizing your submission.
8. Once you have completed the form, you can save your changes, download it for your records, print it out, or share it as needed. Make sure to return the signed form to your child's school nurse.

Complete your documents online today to ensure your child's health needs are properly addressed.