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COVID-19 vaccination: Information for clinicians in NSW

    https://www.health.nsw.gov.au/Infectious/covid-19/vaccine/Pages/clinicians.aspx
    The Australian Immunisation Register - Immunisation medical exemption form (IM011)is the only approved form in NSW to provide evidence of a medical contraindication to COVID-19 vaccination. The NSW COVID-19 vaccine medical contraindication form is no longer valid from 25 February 2022. A NSW … See more

REQUEST FOR A MEDICAL EXCEPTION TO THE COVID …

    https://www.dhs.gov/sites/default/files/publications/dhs-medical-exemption-form_11-03-2021.pdf
    To request a medical exception or delay from the COVID-19 vaccination requirement using this form: 1. You must complete Part 1 of this form. 2. Your medical …

Immunisation medical exemptions - Services Australia

    https://www.servicesaustralia.gov.au/immunisation-medical-exemptions-for-health-professionals?context=23401
    There are only 2 absolute medical contraindications that apply to all vaccines: anaphylaxis following a previous dose of the relevant vaccine; anaphylaxis following any …

Immunization Waiver Information - Michigan

    https://www.michigan.gov/mdhhs/adult-child-serv/childrenfamilies/immunization/providerinfo/providered/immunization-waiver-information
    Immunization Rules for Claiming Nonmedical or Medical Waivers for Immunizations - Frequently Asked Questions for Health Care Providers - Updated 5-3-21. Documenting a …

Australian Immunisation Register (AIR) - immunisation medical …

    https://www.servicesaustralia.gov.au/im011
    Download and complete the Australian Immunisation Register (AIR) - immunisation medical exemption form. Only eligible health professionals can use this form. You are eligible to …

COVID-19 vaccine contraindications and precautions

    https://www.health.gov.au/our-work/covid-19-vaccines/advice-for-providers/clinical-guidance/contraindications-and-precautions
    Contraindications Pfizer and Moderna COVID-19 vaccines A contraindication to one mRNA COVID-19 vaccine should be considered a …

Medical Certification for Exemption from the COVID-19 …

    https://hr.cornell.edu/sites/default/files/2022-12/medical_certification_for_exemption_from_covid-19_health_and_safety_protocols_form.pdf
    Please describe in detail the patient’s contraindication, precaution, and/or disability/othermedical condition that prevents them from receiving the Pfizer, Moderna, …

COVID-19 VACCINE MEDICAL CONTRAINDICATION - New …

    https://www.nsw.gov.au/sites/default/files/2021-10/209659_COVID-19-VACCINE-MEDICAL-CONTRAINDICATION-FORM-NSW-Airport-Quarantine-Workers-v4.pdf
    A patient must have medical contraindications to all of the COVID-19 vaccines available for use in Australia in order to be exempted from COVID-19 vaccination requirements …

Medical Exemptions to COVID-19 Vaccination - Ontario

    https://health.gov.on.ca/en/pro/programs/publichealth/coronavirus/docs/vaccine/medical_exemptions_to_vaccination.pdf
    • Qualifies for medical exemption if: o Myocarditis/pericarditis was diagnosed within 6 weeks of receiving a previous dose of an mRNA COVID-19 vaccine after medical evaluation …

Student Medical Exemption Certificate for Required …

    https://portal.ct.gov/-/media/SDE/School-Nursing/Forms/Medical_Exemption_Immunizations_Form.pdf
    on Immunization Practices (ACIP) Comprehensive General Recommendations and Guidelines, published by the Centers for Disease Control and Prevention. …



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