Get Ri Religious Immunization Exemption Certificate For Use In Public And Private Daycare Preschool 2019-2025

Filling out the RI Religious Immunization Exemption Certificate is a straightforward process that helps ensure students can be exempted from specific vaccinations due to their religious beliefs. This guide provides clear instructions on how to fill out the form online effectively.

Follow the steps to complete the exemption certificate online.

1. Click the ‘Get Form’ button to access the certificate and open it in your preferred online editor.
2. In Section 1, enter the student information including their name, date of birth, grade, street address, city, zip code, and phone number. Additionally, provide the name and address of the healthcare provider, including their city, zip code, and phone number.
3. In Section 2, ensure that the parent or guardian, or the student (if 18 years of age or older) reads the Vaccine Information Statement. After reading, they should initial, sign, and date the statement to indicate understanding and acknowledgment.
4. Check the vaccine(s) from the list provided that the student is seeking an exemption for, based on religious beliefs. These include vaccines such as DTaP, Hepatitis B, and others listed.
5. Ensure they acknowledge understanding the benefits and risks associated with the medical information provided, by initialing each statement regarding the vaccines checked.
6. Obtain the necessary signatures from the school officials in Section 3. This includes the date and signatures of both the school nurse and the school administrative head.
7. Once all sections are filled out and signed, save the changes made to the form. You may then choose to download, print, or share the completed certificate as needed.

Complete the RI Religious Immunization Exemption Certificate online today to ensure compliance with vaccination requirements.