Appendix 9998. FORMS (12VAC5-110)

Latest version.

Certificate of Religious Exemption, CRE-1 (rev. 00/1992)

School Entrance Health Form, Health Information Form/Comprehensive Physical Examination Report/Certification of Immunization, MCH 213G (rev. 3/2014)

Student Immunization Status Report, Form SIS 3 (School) (rev. 5/2009)

                    
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