Forms
Certificate of Exemption from Immunization (Spanish)
Immunization - Form
February 19, 2024
This form may be used by individuals requesting a religious or medical exemption to immunization for their children whom attend any public, private or parochial pre-school, kindergarten, elementary, secondary school, or home school and for children attending daycare of childcare facilities.
Certificate of Exemption from Immunization (English)
Immunization - Form
February 19, 2024
This form may be used by individuals requesting a religious or medical exemption to immunization for their children whom attend any public, private or parochial pre-school, kindergarten, elementary, secondary school, or home school and for children attending daycare of childcare facilities.
Acknowledgement for HCBS Consumer Rights and Freedoms
Supports Waiver - Form
February 7, 2024
Acknowledgement for HCBS Consumer Rights and Freedoms