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Vaccine Exemption Form

Get medical immunization exemptions completed and reviewed quickly with this easy-to-use vaccine exemption form template.

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Vaccine exemptions are critical for children that may have adverse reactions to immunizations. But jumping through all the hoops to get an exemption can be a hassle for both parents and doctors. This exemption form can simplify the process by giving doctors an easy way to collect the information they need without having to fill out a bunch of paperwork.

Paperless

Paperless

Nothing is more frustrating than having to fill out forms with the same information over and over again. With Formstack, you can pre-populate form fields with data collected from previous forms. This means that if a parent fills out a patient history form for their child, all the info they submit can be populated in the vaccine exemption form automatically.

HIPAA Compliant

HIPAA Compliant

When you switch to digital forms, meeting security standards is critical. Use Formstack's HIPAA compliant solution to safely collect, store, and export your patient data. Protecting your information is easy with advanced data encryption, user-level permissions, audit logging, and dedicated security maintenance.

Mobile-Friendly

Mobile-Friendly

Trade out pens and clipboards for mobile devices. This immunization exemption form is mobile-friendly out of the box and can be completed and signed anywhere. Doctors can pull it up on their tablet during appointments to take notes, fill out key sections, and collect electronic signatures.

Streamlined

Streamlined

For most vaccine medical exemptions, doctors are the final authority on whether the exemption is accepted. However, in some states, exemptions have to go through a review process. Get exemptions reviewed quickly by setting up an approvals process that lets staff members approve or deny requests directly in their emails.

Social Proof

"Formstack's intuitive interface helps us build and modify a variety of medical forms used daily in our practice. We use Formstack to collect new patient data and route patient communication forms to medical assistants, the front office, billing, and administration. This design flexibility and the ability to create customized notifications saves us an incredible amount of time and money."

Dr. Chris Bojrab,
President at Indiana Health Group

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