Get Meningitis Medical Exemption Form - Wtamu

Filling out the Meningitis Medical Exemption Form is an essential step for users seeking exemption from the bacterial meningitis vaccination requirement. This guide provides clear instructions to help you complete the form accurately and efficiently online.

Follow the steps to successfully fill out the Meningitis Medical Exemption Form online.

1. Click the ‘Get Form’ button to access the Meningitis Medical Exemption Form and open it in your preferred online editor.
2. Begin filling out the form by entering the student’s last name and first name in the designated fields.
3. Next, provide the date of birth of the student in the specified format.
4. Indicate your medical exemption status by selecting one of the following options: permanent medical exemption or one-year medical exemption. If choosing the one-year exemption, ensure to include today’s date.
5. In the designated area, have the physician or health practitioner print their name and provide their signature to validate the exemption.
6. Include the practice or hospital name where the physician or health practitioner is affiliated.
7. Make sure to have the practice stamp affixed where required to complete the section.
8. Finally, verify that all information is accurate and complete before submitting. Save changes, and download or print a copy of the form for your records if needed.

Start your online submission process for the Meningitis Medical Exemption Form today.