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Permanent Medical: The condition is a medical reason not to immunize and it will not change in the future. Permanent medical exemptions do not need to be reviewed again. Children with permanent medical exemptions should be included in the susceptible list for the vaccines for which they are medically exempt.
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Temporary Medical: The condition is a medical reason not to immunize but is short term and expected to resolve in the future. The health department will assign a future review date on the Medical Exemption Review Summary form and return the form to you. When the review date arrives, the child is required to obtain the necessary vaccinations, or the health department needs to be notified so they can review the documentation to determine whether there should be a continuation of the medical exemption.
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Video Education Certificate: Certificate issued once the guardian has completed an online educational video.
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Health Care Education Certificate: Certificate issued once the guardian has consulted with a Health Care Practioner.
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Task
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2025-26
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Publish Immunization Statistics on the web, post it at the Facility, Guardian copy - 30 days after school starts.
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Attempt to contact guardians whose children are due for shots - 30-90 days after school starts.
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Primary Review Summary - Sections A-D due to your local health department.
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1/14/2026
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Health Department mails exclusion orders to children's families who are not up-to-date on their immunizations.
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2/4/2026
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Exclusion day. All children who are not up-to-date or complete on their immunizations will be excluded from their school or child care facility.
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2/25/2026
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Primary Review Summary - Updated Sections B-D and E-H due to your local health department.
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3/9/2026
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Publish Immunization Statistics
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3/27/2026
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Resource
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Link
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Handbook
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Primary Review Table
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CIS Form
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Health Department Contacts
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Free Assessment
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