Religious Exemption Form Nc - Program associated with vaccine requirement: Web there is no form for requesting religious exemptions in north carolina. To claim a religious exemption, the parent or person requesting the exemption must write a statement of their religious objection to immunization, including the name and date of birth of the person for whom the exemption is being requested. Shs form medical religious exemption form_2023.pdf. If the bona fide religious beliefs of an adult or the parent, guardian or person in loco parentis of a child are contrary to the immunization requirements contained in this chapter, the adult or the child shall be exempt from the requirements. For questions or concerns, please call student health services at, 910.521.6219. Program manager’s name and contact information: Please submit forms to your patient portal. Phone number (enter with no dashes):
Web there is no form for requesting religious exemptions in north carolina. If the bona fide religious beliefs of an adult or the parent, guardian or person in loco parentis of a child are contrary to the immunization requirements contained in this chapter, the adult or the child shall be exempt from the requirements. For questions or concerns, please call student health services at, 910.521.6219. Program manager’s name and contact information: Phone number (enter with no dashes): Shs form medical religious exemption form_2023.pdf. Please submit forms to your patient portal. To claim a religious exemption, the parent or person requesting the exemption must write a statement of their religious objection to immunization, including the name and date of birth of the person for whom the exemption is being requested. Program associated with vaccine requirement: