Connecticut State Department of Public Health Forms

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134

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This form is used for certifying in process required school immunizations by the local health agency in Connecticut.

This document is for students in Connecticut who need a medical exemption from required immunizations.

This type of document is for healthcare providers in Connecticut to certify that a student's required school immunizations are in process.

This document is used for healthcare providers to declare the in-process required school immunizations for prek or pre-school students in Connecticut who are subject to a religious exemption prior to April 28, 2021.

This document is a prediabetes risk test specific to the state of Connecticut. It helps individuals assess their risk of developing prediabetes, a precursor to type 2 diabetes.

This document is intended for residents of Connecticut seeking an exemption from vaccination due to religious beliefs. It gives guidelines on how to draft and submit a request for religious exemption.

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