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Form PH-4359 Medical Exemption From Immunization - Tennessee
What Is Form PH-4359?
This is a legal form that was released by the Tennessee Department of Health - a government authority operating within Tennessee. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form PH-4359?
A: Form PH-4359 is a Medical Exemption From Immunization form in Tennessee.
Q: What is the purpose of Form PH-4359?
A: The purpose of Form PH-4359 is to request a medical exemption from immunization in Tennessee.
Q: Who can use Form PH-4359?
A: Form PH-4359 can be used by individuals in Tennessee who have a medical condition that contraindicates immunization.
Q: Do I need a medical professional to complete Form PH-4359?
A: Yes, a medical professional must complete the medical portion of Form PH-4359.
Q: How can I submit Form PH-4359?
A: Form PH-4359 can be submitted to the school or daycare facility where immunization records are required.
Form Details:
- Released on June 1, 2020;
- The latest edition provided by the Tennessee 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 PH-4359 by clicking the link below or browse more documents and templates provided by the Tennessee Department of Health.
Download Form PH-4359 Medical Exemption From Immunization - Tennessee
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