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arkansas covid vaccine exemption form

Colorado Senate Bill 163 requires a person seeking a nonmedical exemption (either religious or personal belief) to submit a certificate of completion of an online educational module or a certificate of nonmedical exemption. After the video, you will have access to the application form. If you believe there are COVID-19 vaccinations missing from your COVID-19 SMART Health Card, you may reach out to the site where you received the vaccination to have it added to the WebIZ system. endobj If you're allergic to something in one of the vaccines, you might be able to get another one of the vaccine brands available, since some of the ingredients are different in each one. When approved, exemptions will be effective for the start of the Fall session and go through the Summer sessions. Additional information on SMART Health Cards is available here. _____ (insert patient's name) is requesting a reasonable accommodation due to a medical condition or disability. These statements provide information about the required vaccines. Vaccines are the safest way to protect you, your children, and your community from a long list of serious and potentially life-threatening illnesses. Outdated or alternate forms are not allowed. PLEASE NOTE: The form requires a signature and seal of a Notary Public. HB1977 and SB739 would require employers that mandate vaccinations to provide an exemption process for workers, including requiring them to produce a negative antigen test once a week or proof of. To fill out a health coverage exemption application, you'll need to download it onto your computer first. Click here for a list of clinics. The notary page must be printed, signed, notarized and submitted back to ADH before processing can be complete. 2022-2023 College Immunization Exemption Application, Nursing Home Flu Policy Answer:Get your flu shot each year beginning in early Fall. The information in this story is accurate as of press time. All rights reserved. It establishes an immunization goal of 95% of each school's student population and requires . )x Please certify below the medical reason that your patient should not be vaccinated for COVID-19 by . An attestation form from Conway (Ark.) endobj endobj When you receive a COVID-19 vaccination record from the Arkansas Department of Health or your health care provider and the record is from the state immunization information system, WebIZ, the record will contain your COVID-19 vaccination history and a 2D barcode, commonly known as a QR code. Q:How do I report a possible adverse event after receiving an immunization? Select a location on your computer to save this application on the desktop, in your documents folder, or somewhere else it will be easy to find. Answer:Click here to download a copy of the Shot Record Request Form. Email: immunization.section@arkansas.gov. Those seeking a medical exemption will need to fill out this form and have it signed by a medical provider certifying that they should not receive the COVID-19 vaccine. Regional Health System asks employees requesting a religious exemption from the hospital's COVID-19 vaccine mandate to confirm they will not use. Hepatitis B Thiswebsite allows you to submitan application for exemption. Each request for exemption, regardless of the reason, is evaluated individually by Student and Employee Health Services, and if needed, the Office of Human Resources. All employees wishing to obtain either a religious or medical exemption from the COVID-19 vaccination need to complete and sign the first page. Measles, Mumps, & Rubella A physician statement outlining medical reasons for an exemption of a specific immunization is to be submitted to the Medical Director of the Immunization Section with the exemption form. Pneumococcal Conjugate (PCV13) What Are Side Effects of COVID-19 Vaccines? There are several actions that could trigger this block including submitting a certain word or phrase, a SQL command or malformed data. You may already have it. Q. Only a valid Immunization Exemption Application will be accepted for the school year. Please include what you were doing when this page came up and the Cloudflare Ray ID found at the bottom of this page. Click to download the Medical Exemption Application Form for nursing home workers. For information, inquiries, feedback and comments contact us. However, as the situation surrounding COVID-19 continues to evolve, it's possible that some data have changed since publication. If you received COVID-19 vaccinations in another state, you may provide your vaccination information to your health care provider for a local health unit and the information will be added to your Arkansas WebIZ record. 4815 West Markham Mail Slot 48 "Swearing" the document simply means that you are swearing or declaring that the statements in the document are true. stream Eight requests are for religious reasons and. staff COVID-19 vaccination requirements; (viii) A process for ensuring that all documentation, which confirms recognized clinical contraindications to COVID-19 vaccines and which supports staff requests for medical exemptions from vaccination, has been signed and dated by a licensed practitioner, who What to Know About a Rare Side Effect Tied to J&J COVID-19 Vaccine, Side Effects From the COVID-19 Booster Shot, Interim clinical considerations for use of COVID-19 vaccines currently approved or authorized in the United States, Lipids ((4-hydroxybutyl)azanediyl)bis(hexane-6,1-diyl)bis(2-hexyldecanoate), 2 [(polyethylene glycol)-2000]-N,N-ditetradecylacetamide, 1,2-Distearoyl-sn-glycero-3- phosphocholine, and cholesterol), Lipids (SM-102, 1,2-dimyristoyl-rac-glycero3-methoxypolyethylene glycol-2000 [PEG2000-DMG], cholesterol, and 1,2-distearoyl-snglycero-3-phosphocholine [DSPC]), Recombinant, replication-incompetent adenovirus type 26 expressing the SARS-CoV-2 spike protein. Q: How do I get a religious or philosophical exemption for my child regardingtheir required immunizations? How do I get information about 2022-2023Mass Flu Clinics? Read our. [xR_8qp/-[je{reIs% Arkansas will implement COVID-19 SMART Health Cards beginning September 14. Step 1: Identify the correct form for you Right-click this exemption application form (PDF, 1.2 MB) link for hardship exemptions, like homelessness, bankruptcy, eviction, or foreclosure. The Medical Director will decide whether to grant the medical exemption based on the CDC guidelines. Little Rock, AR 72205. GmYqc~7dv\yz1;^H{U$MY7TuT*)k1;i^@G*d[`AHjVe PIfcpK1aX&O"A[x$\6w%}GK Updated COVID-19 boosters can both help restore protection that has decreased since the previous vaccination and provide broader protection against newer variants. All Rights Reserved. k, =ah}/e,'Tb%];CF-Y-Z=ZQAJL\DTZ*^O1Qx[7IY7P'` Y\f" uCW/R{&]{h&.Y-]q7#0rQN;7;3q`mVjyxm$ppTkBzx+x" Wywoa}~@'G PDy3hyHE. 2017 Arkansas Department of Health. Some states make it easier to avoid vaccines than others. All Rights Reserved. A religious exemption from vaccination is allowed for individuals who object to the vaccination because of a sincerely held religious belief . Most reports are sent in by vaccine manufacturers and health care providers, but vaccine recipients, parents/guardians, and others may also submit reports. <> If you do not have access to a printer, you will need to complete the paper form of the application. If you believe there are COVID-19 vaccinations missing from your COVID-19 SMART Health Card, you may reach out to the site where you received the vaccination to have it added to the WebIZ system. COVID-19 vaccination a condition of employment for all City employees. Or you can E-mail us or call (501-661-2169) to request the release form be faxed or mailed. "The same is true for those who have known allergies to the ingredients of one of the vaccines.". You can email the site owner to let them know you were blocked. Or E-mail us to request the exemption form. Vaccine clinics and events may also be available in your area through hospitals, health care providers, or your worksite. In Conway, Ark., Matt Troup, CEO of Conway Regional Health System, has granted 45 religious exemptions to employees who refused to get a COVID-19 vaccine. Arkansas Gov. *Ark. <> FLU VIS. endobj By getting shots on time, you can protect your child and yourself from disease and protect others at home, daycare, school, or work. Here you will find vaccination recommendations for children, teens, and adults. Find out if you qualify for a Special Enrollment Period. <>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/Annots[ 16 0 R 19 0 R 20 0 R 21 0 R 22 0 R] /MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Arkansas will implement COVID-19 SMART Health Cards beginning September 14. Arkansas lawmakers Friday approved requests from three state agencies to implement covid-19 vaccination requirements, with religious and medical exemptions, for employees in facilities that . Complete and mail to: Arkansas Department of Health 4815 West Markham - Mail slot 48 Little Rock, AR 72205. Additional information on SMART Health Cards is available here. As more businesses continue to enforce vaccine requirements . Request for Medical Exemption from COVID-19 Vaccine Form . Office of Performance Management Quality Improvement and Evaluation, Vaccine plan in response to COVID-19 pandemic, CDC Frequently Asked Questions about COVID-19 Vaccination, Health Equity Strike Team Vaccination Clinics, Johnson & Johnson COVID-19 Vaccine EUA Fact Sheet for Patients, Pfizer-BioNTech COVID-19 Vaccine EUA Fact Sheet for Patients, Moderna COVID-19 Vaccine EUAFact Sheet for Patients, Pfizer-BioNTech Pediatric COVID-19 Vaccine Distribution Plan, CDC COVID-19 Vaccination Program Provider Agreement, COVID-19 Vaccine Program Enrollment Instructions, Johnson & Johnson COVID-19 Vaccine EUA Fact Sheet for Healthcare Providers, Pfizer-BioNTech COVID-19 Vaccine EUA Fact Sheet for Healthcare Providers, Moderna COVID-19 Vaccine EUAFact Sheet for Healthcare Providers, COVID-19 Information for Healthcare Providers, Arkansas Alzheimers Disease & Related Dementias (AADRD), Blood Pressure (Hypertension) Resources for Patients and the Public, Blood Pressure (Hypertension) Resources for Professionals, Arkansas Heart Attack Registry Participating Hospitals, Arkansas Acute Stroke Care Task Force (ASCTF), Provisionally Designated as Arkansas Stroke Ready Hospitals. Arkansas will implement COVID-19 SMART Health Cards beginning September 14. NH Immunization Reporting Form for NH's 22-23 Provider Annual Profile and Order Form The COVID-19 SMART Health Care QR Code is not connected to the WebIZ. NH Declination Log This website allows you to submit an application for exemption. Your patient has requested a medical exemption from this . 2023-2024 Childcare-School Immunization Exemption Application 2022-2023 Childcare-School Immunization Exemption Application, DTap PLEASE NOTE: Incomplete forms will be returned for completion. "Getting vaccinated is important," said Dr. Schaffner. As part of the application, the law requires that the parent/guardian or college student complete an educational activity when requesting an exemption. Non-employees are defined as non-UAMS workers, contractors, visiting students, visiting faculty, pharmaceutical representatives, traveling nurses, locum tenens physicians, custodians, and employees of businesses who work on a UAMS campus. For example, one such situation recognized by the CDC as a contraindication to getting a Johnson & Johnson booster vaccine is for those who experience thrombosis with thrombocytopenia syndrome (TTS) after their first J&J shot. Release of information will be provided only to the custodial parent/guardian or student over 18 years of age who completes this application and according to the notarized signature. <>>> Hepatitis B If you do happen to. It mostly boils down to allergies and allergic reactions to vaccine ingredients said Dr. Schaffner. Click on the document to open it. 2 0 obj Quick Fact: Immunization requirements shall not apply if the parents/legal guardian of the child or the student objects on the grounds that immunization conflicts with the religious or philosophical beliefs of the parent/guardian or student. A medical exemption is due to a patient having a contraindication to the vaccine, meaning getting it could be bad for their health. For information regarding mass flu clinics and school flu clinics, please contact your local publichealth unit. Where can I find theSMART health card FAQs? If you do not have access to a printer, you will need to complete the paper form of the application. You have two options: Double-check youre following the download instructions for your web browser. If a child is exposed to a vaccine-preventable disease for which an exemption is chosen, the child should expect to be excluded from childcare or school for 21 days or longer as determined by the Arkansas Department of Health. FLU VIS. 12.2.0.180809. "There are some people who have received one dose of the vaccine and had a subsequent medical event close in time to the vaccine," said Dr. Schaffner. You are responsible for retaining the original letter. Hepatitis A Click to reveal NH Immunization Reporting Form for NH's 22-23 Centers for Disease Control and Prevention. 1 and Hepatitis B (for those exposed to blood and body fluids, vaccinations for all of its employees. TD (Tetanus, Diphtheria) Employees may request an exception to the COVID-19 vaccine due to a physical or mental disorder or condition that limits a major life activity and any other condition recognized as a disability under applicable law including pregnancy, childbirth, or a related medical condition where reasonable accommodation is medically advisable. Varicella (Chickenpox), 2023-2024 College Immunization Exemption Application For example, when dozens of employees at Conway Regional Health System in Arkansas sought religious exemptions to a COVID-19 vaccine, citing fetal cells, the CEO sent them a list of common . Each state's vaccine exemptions vary. <> The QR code may be scanned into an app on your smartphone and used to verify your COVID-19 vaccination history at places that have a SMART Health Card compatible verifier app, such as airports, business, and large venues. You will then need to include the requested information and return the updated application for processing. A copy of the approval letter is to be placed in the student's file at the daycare/school or thecollege/university. When you receive a COVID-19 vaccination record from the Arkansas Department of Health or your health care provider and the record is from the state immunization information system, WebIZ, the record will contain your COVID-19 vaccination history and a 2D barcode, commonly known as a QR code. When youre ready to fill out the exemption application: Youll need to have a recent version of Adobe Reader software installed on your computer to open the exemption application. All fifty states allow immunization exemptions for medical conditions. All Rights Reserved. Centers for Disease Control and Prevention. Click here for a list of clinics. 4815 West Markham Street Little Rock, Arkansas 72205-3867 Cell (501) 661-2000 . NH Declination Log The University of Arkansas for Medical Sciences mandates influenza, MMR, Tdap, Covid-19, Varicella. For information, inquiries, feedback and comments contact us. "Because there is more than one type of vaccine available in the United States, I don't think that there are actual true medical exemptions to both mRNA vaccines and the adenovirus vectored vaccine," infectious disease expert Amesh A. Adalja, MD, a senior scholar at the Johns Hopkins Center for Health Security, told Health. You are asked to sign that you havereviewed the Vaccine Information Statements, that you understand the risks and benefits of the vaccines, and that you still choose to request an exemption. endobj Hepatitis A HIB For people who experience this or another adverse event following a shot, the CDC encourages you to report it to the Vaccine Adverse Event Reporting System (VAERS). Statistics show that states where exemptions are easy to get have more. Vaccine clinics and events may also be available in your area through hospitals, health care providers, or your worksite. The required educational activity can be met by reading the included Vaccine Information Statements from the Centers for Disease Control and Prevention. Overview of COVID-19 Vaccines. Code Ann. If you received COVID-19 vaccinations in another state, you may provide your vaccination information to your health care provider for a local health unit and the information will be added to your Arkansas WebIZ record. Q: How do I get a copy of my shot record, the shot record of my child, or a child under my guardianship? When both are completed, you can go to "My Tickets" on ACMS and upload the completed form to your RA ticket. Though the development of a COVID-19 vaccine has followed an accelerated timeline,safety has been the top priority. Here you will find vaccination recommendations for children, teens, and adults. What Is TTS? A vaccine exemption Affidavit is a document that is sworn by you and signed before a notary public (including a notary or a paralegal) in order to establish your request to be exempt from the COVID-19 vaccine. Release and Assignment of the COVID-Then sign in the box at right.19 Immunization Consent Form and Vaccine Recipient Emergency Use of Authorization Fact Sheet (EUA). Non-employeesare defined as non-UAMS workers, contractors, visiting students, visiting faculty, pharmaceutical representatives, traveling nurses, locum tenens physicians, custodians, and employees of businesses who work on a UAMS campus. Quick Facts and Resources for Arkansas Residents. _{r==gjgLN?NOq*Qr8B?9Rp\>R#*v1u$4*:r'$[NHkF=`u*:N}6bTLzh,b{tM_|+ABb'JqEuTe2N-Bhzc!~gJl$/*^ An application with a notarized signature of the parent or guardian must be submitted each school year to the Department of Health. Here's Who Should (and Shouldn't) Get It, Why the FDA Restricted Use of Johnson & Johnson's COVID-19 Vaccine, FDA Grants Emergency Use Authorization for Novavax's COVID-19 Vaccine. Nine of the 146 veterans home employees have requested covid-19 vaccine exemptions, and all nine were still being processed Friday, Harper said. Click to download the exemption application form. download the latest version for free right now to be sure, install the most recent version of Adobe Reader software, Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Illinois, Indiana, Iowa, Kansas, Louisiana, Michigan, Mississippi, Missouri, Montana, Nebraska, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, West Virginia, Wisconsin, Wyoming, California, Colorado, Idaho, Kentucky, Maine, Massachusetts, Minnesota, Nevada, New Jersey, New Mexico, New York, Pennsylvania, Rhode Island, Vermont, Washington, Chrome and Firefox users: Choose "Save Link As", Microsoft Edge users: Choose "Save Target As", Safari users: Choose "Download Linked File as". To request a medical exception or delay from the COVID-19 vaccination requirement using this form: You must complete Part 1 of this form. Only a 2022-2023 Immunization Exemption Application will be accepted for the 2022-2023 school year. 2017 Arkansas Department of Health. 4 0 obj An increasing number of employers are making vaccination against COVID-19 a condition of employment. Eligible Arkansans canmake an appointmentwitha vaccine provider. Though some healthcare facilities require healthcare workers to get vaccinations for vaccine-preventable diseases, no state requires vaccines for adults. 2022-2023 Childcare-School Immunization Exemption Application, DTap 2017 Arkansas Department of Health. Immunization Requirements for Daycares and Schools. Thank you for using our online Immunization Exemption Application module. FAX: 501-661-2300 What Are the Differences Between the Pfizer and Moderna COVID-19 Vaccines? <> Answer: Here. Varicella (Chickenpox), 2023-2024 College Immunization Exemption Application To obtain an exemption parents/guardian/student must (1) sign a notarized statement requesting a . Early Hearing Detection and Intervention Performance, Hospital Reporting Form-Lay Midwife Patient Transfer. Answer:The Arkansas Department of Health does not provide immunizations for travelers. They are available in local health departments and many physicians offices. The Arkansas Board of Health requires that all children attending childcare facilities and public or private schools in the State of Arkansas be immunized against vaccine-preventable diseases and also requires that all students attending colleges and universities in the State of Arkansas be immunized against measles, mumps, and rubella. 3 0 obj The COVID-19 SMART Health Care QR Code is not connected to the WebIZ. This is for the protection of the exempted child and the protection of others. Your IP: You are responsible for retaining the original letter. Their objections were largely based. 75.119.198.104 <>/Metadata 513 0 R/ViewerPreferences 514 0 R>> By checking the box below, I am requesting an exemption from this vaccine. Or E-mail us to request the exemption form. The University of Arkansas for Medical Sciences is mandating COVID-19 vaccination for all its employees, non-employees and students. Q: When are flu shots needed and where do I get them? However, this might not mean that you can't be vaccinated at all. Answer:Patients should contact the clinic or provider who gave the immunization. What Your Sex Has To Do With COVID-19 Vaccine Side Effects, ShinglesHerpes ZosterInfection May Be Linked to the COVID-19 Vaccine, The FDA Just Authorized Johnson & Johnsons Single-Shot Vaccine for Emergency UseHeres How it Stacks Up, This COVID-19 Vaccine Is the First Plant-based Vaccine for Humans. There may be at least one other situation where a doctor will write a medical exemption with legitimate intentions, Dr. Schaffner explained: If someone developed a serious health issue soon after getting their first dose of an mRNA vaccine. Call 1-800-803-7847 for assistance finding a vaccine in your area or to sign up for an ADH clinic. Pneumococcal Conjugate (PCV13) All Rights Reserved. 2022-2023 College Immunization Exemption Application, Nursing Home Flu Policy In the near future, the federal Occupational Safety and Health Administration (OSHA) and the North Carolina Division of Occupational Safety and Health (NC OSH) are likely to require most larger employers to adopt a vaccine mandate (see here).Vaccine mandates are lawful, subject only to . Each request for exemption, regardless of the reason, is evaluated individually by Student and Employee Health Services, and if needed, the Office of Human Resources. If you dont have the right software installed, youll be sent to a page telling you to download it. The application may be completed by parents or guardians of students or by students who are 18 years of age or older. An application with a notarized signature of the parent/guardian, or the studentover 18 years of age, must be submitted each school year to the Department of Health. NOTE: The person requesting the shot record must be a responsible party on record. If you do happen to qualify for a medical exemption, it will likely be in the form of a doctor's note, said Dr. Schaffner. <>/ExtGState<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/Annots[ 11 0 R] /MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> GSA19M-22.pdf [PDF - 689 KB ] PDF versions of forms use Adobe Reader . The University of Arkansas for Medical Sciences is mandating COVID-19 vaccination for all its employees, non-employees and students. TD (Tetanus, Diphtheria) For more information, go here. When you receive a COVID-19 vaccination record from the Arkansas Department of Health or your health care provider and the record is from the state immunization information system, WebIZ, the record will contain your COVID-19 vaccination history and . Q:Where do I get information on vaccines needed for international travel? Answer: Yes, please call your local health department to schedule an appointment for vaccinations. A lawsuit has been filed against Conway Regional Health System over religious exemptions and the hospital's COVID-19 vaccine mandate. U.S. Food and Drug Administration. Conway Regional Hospital is requiring its staff to get the COVID-19 vaccine. We will send you a letter of approval or denial within ten working days of receiving a completed application. Tdap (Tetanus, Diptheria, Pertussis) Screening Checklist What conditions could cause someone to be medically exempted from the COVID-19 vaccine? Getting the COVID-19 Vaccine: What to Expect Before, During, and After Your Appointment, Is the COVID-19 Vaccine Safe for Everyone? To apply, please view the brief Introduction video below. How Long Does It Take for the COVID-19 Booster To Be Effective? Q: Is there a medical exemption regarding flu vaccinations for nursing home workers? 2017 Arkansas Department of Health. They can give you allergy testing to see what, exactly, you're allergic to and then recommend the right COVID-19 vaccine for you based on the findings, said Dr. Schaffner. b,m*z_z)+ZcDWGJBJmu.ui6]M]iX. The Arkansas Department of Health is authorized by Act 999 of 2003 to grant individual exemptions from the immunization requirements. After you have received your approval letter, you are responsible for notifyingthe students daycare, school,college, or university that your exemption request has been approved. Complete and mail, fax or email to: Polio Each time you receive an additional dose of COVID-19 vaccine, you will need to obtain a new COVID-19 SMART Health Card to ensure all vaccinations are included on your card and in your QR code. Meningococcal ACWY FAX: 501-661-2300 Email: immunization.section@arkansas.gov (This application works best in Google Chrome.). Immunization doesnt just protect the person getting the shot; it protects the entire community. The classification is actually pretty narrow. The notary page must be printed, signed, notarized and submitted back to ADH before processing can be complete. Answer:See Immunization Requirements for Daycares and Schools. j}%}p]\Y p=hWWjh_1Sx,?\Cn*:/*z6ry:R[ztf)c!b!g,#x ~$2Nk2Sl 3 0 obj Measles, Mumps, & Rubella PLEASE NOTE: The form requires a signature and seal of a Notary Public. x=ks33"zi'u6q9sf^{~tqK |I$vZ" A $'GYrQ6iQ&EV%Y,)xdx$E.WEm%7xSyIwJ i 9]YI\% T6hyt6wN&w1i,O[r?zKg1Q(KXi[%uH>\a_?>~B44}`H:7?|]rv2O28*X Copyright 2017 - 2018 Arkansas Immunization Program. Health Insurance Marketplace is a registered trademark of the Department of Health and Human Services. Arkansas Department of Health, Dr. Schaffner recommended meeting with an allergist. This website is using a security service to protect itself from online attacks. Pleasecomplete your Immunization Exemption Application, print it,sign it, have it notarized, andreturn itto the Arkansas Department of Health Immunization Section. Screening Checklist Tdap (Tetanus, Diptheria, Pertussis) 2 0 obj Who is eligible to get the vaccine in Arkansas? The form asks. The Arkansas Department of Health is authorized by Act 999 of 2003 to grant individual exemptions from the immunization requirements. 2105 DOWNLOAD THIS FORM: Choose a link below to begin downloading. A physician statement outlining medical reasons for an exemption of a specific immunization is to be submitted to the Medical Director of the Immunization Section with the exemption form. Unless granted a legally-required exception because of a disability or because of a sincerely held religious belief, practice, or observance, all covered federal employees are required to be vaccinated against COVID-19 and to provide documentation concerning their vaccination status to their employing agency. The application may be completed by parents or guardians of students or by students who are 18 years of age or older. If aSMART Health Card compatible verifier app is not available, you may present the paper copy of your SMART Health Card. Here's a breakdown. Cloudflare Ray ID: 7c0a196d9a2cef7f Form: GSA19M Request for a Medical Exception to the COVID-19 Vaccination Requirement Form is for GSA Employee use only. Here's a list of the Comirnaty/Pfizer-BioNTech vaccine ingredients: While we're at it, here's a list of the ingredients in the Moderna COVID-19 vaccine: And the ingredients for the Johnson & Johnson COVID-19 vaccine: For each vaccine, the contraindication is the same: You shouldn't get it if you have had a severe allergic reaction to one of the ingredients in the vaccine. The updated, or bivalent boosters, target the most recent Omicron subvariants, BA.4 and BA.5, that are more contagious and more resistant than earlier strains of Omicron. 2023-2024 Childcare-School Immunization Exemption Application 20-7-109, 6-18-702, 6-60-501 - 504, and 20-78-206. Your SMART Health Card will only contain COVID-19 vaccinations that have been entered into the Arkansas immunization information system, WebIZ. Each time you receive an additional dose of COVID-19 vaccine, you will need to obtain a new COVID-19 SMART Health Card to ensure all vaccinations are included on your card and in your QR code.

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arkansas covid vaccine exemption form