New Hampshire allows a medical exemption from school and child care immunization requirements under RSA 141-C:20-c when a licensed physician or authorized health care provider certifies that immunization against a particular disease may be detrimental to the child's health. The state posts no medical exemption form, so the provider writes the certification, and it lasts only as long as the provider specifies.
A licensed physician or authorized health care provider, such as an APRN or PA, writes and signs the certification. Parents seeking a religious exemption use the state's separate religious exemption form instead.
The issuer sets what the letter or report must contain; check its current rules before you write it.
New Hampshire medical exemption from school/child care immunization (provider certification)
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. The NH Immunization Program's exemptions page links a religious exemption form but no state medical exemption form. The provider's written certification serves instead. It should identify the child, each disease for which immunization may be detrimental to the child's health, and the period the exemption covers.
A licensed physician or another authorized health care provider, such as an advanced practice registered nurse or physician assistant, can certify the exemption under RSA 141-C:20-c. Religious exemptions are different: the parent completes the state form, which no longer requires notarization.
Yes, during an outbreak. If a communicable disease for which immunization is required breaks out, children with an exemption may be excluded from the school or child care agency threatened by the disease when the New Hampshire Division of Public Health recommends it.