Get Ky Imm-2 2012-2025

The KY IMM-2 is an important document for parents or guardians seeking a religious exemption from vaccinations for their children. This guide provides a clear and supportive step-by-step approach to help users complete the form accurately and efficiently online.

Follow the steps to fill out the KY IMM-2 form

1. Click the ‘Get Form’ button to obtain the form and open it in the editing interface.
2. Begin by entering the patient ID number in the designated field. This number is essential for identifying your child's record.
3. Next, enter the full name of the patient in the 'Patient Name' field. Ensure that the name matches official documents.
4. Indicate your objections to the vaccination by checking the appropriate boxes for the vaccines you wish to exempt your child from. The vaccines listed include DTaP, Haemophilus influenzae type b, Hepatitis B, Meningococcal, MMR, Pneumococcal Conjugate, Polio, and Varicella.
5. Provide a written reason for the religious exemption in the designated 'Reason' section, being as clear and specific as possible.
6. Fill in the names of the parents or guardians in the relevant field. Ensure accurate representation of all individuals signing the document.
7. Obtain the signature of the parent or guardian in the appropriate area to affirm the request for exemption.
8. If applicable, have the form signed by a licensed healthcare provider, such as a physician, APRN, PA, pharmacist, LHD administrator, or RN designee.
9. Finally, enter the dates when the parent/guardian and the healthcare provider signed the document.
10. Once all sections are filled out accurately, you can save the changes, download, print, or share the form as needed.

Complete your KY IMM-2 form online today to ensure a smooth exemption process.