Va. Admin. Code tit. 12, agency 5, ch. 110, pt. V, form FORMS (12VAC5-110)

Current through Register Vol. 41, No. 2, September 9, 2024

Form - FORMS (12VAC5-110)

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)

Va. Admin. Code tit. 12, agency 5, ch. 110, pt. V, form FORMS (12VAC5-110)

Amended, Virginia Register Volume 31, Issue 01, eff. 10/10/2014.

Amended, Virginia Register Volume 32, Issue 07, eff. 1/14/2016.

Statutory Authority: §§ 22.1-271.2, 32.1-12, and 32.1-46 of the Code of Virginia.