Form 139 IMM Medical Exemption Request - Mississippi

Form 139 IMM Medical Exemption Request - Mississippi

What Is Form 139 IMM?

This is a legal form that was released by the Mississippi Department of Health - a government authority operating within Mississippi. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form 139 IMM?A: Form 139 IMM is a Medical Exemption Request form in Mississippi.

Q: What is the purpose of Form 139 IMM?A: Form 139 IMM is used to request a medical exemption from immunization requirements in Mississippi.

Q: Who needs to use Form 139 IMM?A: Individuals seeking a medical exemption from immunization requirements in Mississippi should use Form 139 IMM.

Q: What information is required on Form 139 IMM?A: Form 139 IMM requires information such as the individual's name, date of birth, medical condition, and supporting documentation from a healthcare provider.

Q: Are all medical exemption requests granted?A: Not all medical exemption requests are automatically granted; they are evaluated on a case-by-case basis.

Q: How long does it take to process a medical exemption request?A: The processing time for a medical exemption request can vary, but it is typically within a few weeks.

Q: Can I appeal a denial of a medical exemption request?A: Yes, individuals have the right to appeal a denial of a medical exemption request in Mississippi.

Q: Are there any fees associated with Form 139 IMM?A: There are no fees associated with submitting Form 139 IMM in Mississippi.

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Form Details:

  • Released on July 7, 2016;
  • The latest edition provided by the Mississippi Department of Health;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form 139 IMM by clicking the link below or browse more documents and templates provided by the Mississippi Department of Health.

Download Form 139 IMM Medical Exemption Request - Mississippi

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