North Carolina Immunization Exemption Form - Web nc medical exemption statement form dhhs 3987 purpose: To provide physicians licensed to practice. North carolina law provides for two types of exemptions from required immunizations. Web immunization (review 6/17) north carolina department of health and human services women’s and children’s health section. Complete and sign the form. Web medical exemptions for immunizations are granted upon submission of a medical exemption statement form (dhhs 3987). Web nc physician’s request for medical exemption form dhhs 3995. Web the medical exemption form(s) must be submitted with the north carolina required immunization and health history form.
Complete and sign the form. To provide physicians licensed to practice. Web the medical exemption form(s) must be submitted with the north carolina required immunization and health history form. Web medical exemptions for immunizations are granted upon submission of a medical exemption statement form (dhhs 3987). Web nc physician’s request for medical exemption form dhhs 3995. North carolina law provides for two types of exemptions from required immunizations. Web nc medical exemption statement form dhhs 3987 purpose: Web immunization (review 6/17) north carolina department of health and human services women’s and children’s health section.