Idaho law lets a parent or guardian claim an exemption from preschool and K-12 immunization requirements for medical, religious or other reasons, and DHW's Immunization Program provides this form to document it. A medical exemption must be completed by a licensed physician, while religious or other exemptions are claimed by the parent.
A licensed physician completes and signs the medical exemption section. For religious or other reasons, the parent or guardian completes the form or provides any signed written statement instead.
Download the current version from the source each time; forms change without notice.
Immunization Requirements Exemption Form, Preschool & K-12
Immunization Requirements Exemption Form, Preschool & K-12 (Spanish)
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A licensed physician. DHW's immunization page states that a medical exemption must be completed by a licensed physician. Religious or other exemptions are claimed by the parent or guardian, either on this DHW form or with a signed written statement.
Yes. DHW publishes Spanish versions of the Immunization Requirements Exemption Form and the Conditional Admission form, along with its Guide to Immunization Requirements for preschool and K-12 in both languages.