Services

Exemptions for NC Required Immunizations

Medical Exemptions

Medical exemptions for required immunizations will only be granted upon submission of either a Medical Exemption Statement (DHHS 3987) or Physicians Request for Medical Exemption (DHHS 3995).  Both of these exemptions require a signature by a Physician in North Carolina.

These forms can be found on the Immunize NC website.

The Medical Exemption form(s) must be submitted with the North Carolina Required Immunization and Health History Form.

Religious Exemptions

Religious exemptions for required immunizations will only be granted upon submission of the "Request for Exemption from Immunization Requirement: Religious Belief" Form (see attached document).

Sharing and printing options: