Immunization Exemption Form Utah - Must click all that apply. Submit completed form to email: To access the online immunization education module, click here. To receive a vaccination exemption form, the legally responsible individual who claims the exemption for the student must complete the online immunization education module. Attach a copy of the exemption form to the back of the usir. Fill in the exemption column with the type of exemption (religious, personal, or medical) if the student has an exemption. Web immunization exemption request for university of utah health. To receive a vaccination exemption form, please complete the immunization exemptions requirements. Select the vaccines that apply to the exemption. Web to receive a utah vaccination exemption form, a legally responsible individual of a child must complete the online education module, print the utah vaccination exemption form and provide a signed copy to the school/early childhood program.
To access the online immunization education module, click here. Select the vaccines that apply to the exemption. Click “download” to view and print the vaccination exemption form. Submit completed form to email: Web to receive a utah vaccination exemption form, a legally responsible individual of a child must complete the online education module, print the utah vaccination exemption form and provide a signed copy to the school/early childhood program. Web immunization exemption request for university of utah health. To receive a vaccination exemption form, the legally responsible individual who claims the exemption for the student must complete the online immunization education module. Attach a copy of the exemption form to the back of the usir. Give the exemption form to the school your child attends. Fill in the exemption column with the type of exemption (religious, personal, or medical) if the student has an exemption. To receive a vaccination exemption form, please complete the immunization exemptions requirements. For a medical exemption, a written notice signed by a licensed healthcare provider must also be attached to the usir. Must click all that apply.