Massachusetts posts no form for medical exemptions from school vaccine requirements. Under 105 CMR 220.000, a medical exemption is a statement from the student's physician that a required vaccine is medically contraindicated for that student. Clinicians meet it when a family needs documentation for child care, preschool, school or college entry, and the school keeps it with the student's immunization record.
The student's physician writes and signs the statement, naming each vaccine that is contraindicated. A religious exemption is a separate statement written by the parent or guardian, or by the student if 18 or older.
The issuer sets what the letter or report must contain; check its current rules before you write it.
Massachusetts school immunization medical exemption (physician statement of contraindication)
There is no form to fill: the program asks for a letter or report with the content it sets. Vero Scribe writes the visit note it draws on, so the details are ready when you write 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. DPH publishes no template. Its school immunization requirements define a medical exemption as a statement from a physician that a vaccine is medically contraindicated for the student. The physician writes it as a letter, and it goes to the school nurse or program that keeps the student's immunization records.
Every year. DPH's 2026-2027 school immunization requirements state that medical exemptions must be renewed annually at the start of the school year. Religious exemptions, written by the parent, guardian or adult student, should also be renewed annually at the start of the school year.
Children in child care and preschool, students in kindergarten through grade 12, and in college all full-time undergraduate and graduate students under 30 plus all full- and part-time health science students. A physician's statement of contraindication is the route to a medical exemption in each of these settings.