Since January 1, 2021, every new medical exemption from California's school and child care immunization requirements must be issued through CAIR-ME, the California Immunization Registry medical exemption website. There is no paper form: a California-licensed MD or DO enters the permanent or temporary exemption online, and CAIR-ME generates the form the family gives the school.
The parent creates a CAIR-ME account, applies, and gives the physician the exemption application number. A California-licensed MD or DO registered in CAIR-ME issues the exemption, which must meet applicable American Academy of Pediatrics criteria, and prints the form.
Download the current version from the source each time; forms change without notice.
CAIR-ME Medical Exemption (California Immunization Registry - Medical Exemption website)
California Department of Public Health, Immunization Branch takes this form through its online services or your EMR, so there is no PDF to fill. Vero Scribe writes the visit note it draws on, so the details are ready when you complete it.
A form is listed only after its name and number were confirmed on the issuing agency’s or insurer’s own website, or in the form itself. Each entry links to that source. The list was last checked in October 2026. Forms and their requirements change without notice, so check the official page for the current version before you complete one.
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No. Since January 1, 2021, all new school and child care medical exemptions must be issued through CAIR-ME, under SB 276 and SB 714. Exemptions issued before 2021 for children already enrolled stay on file at the school and do not need to be uploaded into CAIR-ME.
The parent creates a CAIR-ME account, applies for an exemption and receives an application number, then gives that number to the child's physician. The physician registers in CAIR-ME, logs in to issue the exemption, and prints the form for the parents to give the school. CDPH's Parent and Physician CAIR-ME Guide is posted in 14 languages.
Not within the same grade span. The parent logs in to CAIR-ME, updates the school or child care facility information, and shows the new school a printed copy of the change. The new school can also log in to confirm the exemption is listed for it. A new grade span needs a new exemption.