DHEC 1126 (09/20010) SOUTH CAROLINA DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL South Carolina Certificate of Religious Exemption (From Immunization) Section I - Pupil Information _____

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"To obtain a Religious Exemption form (Sample-DHEC form 1126), please call your local Health Department to schedule an appointment. Forms cannot be e-mailed or mailed. Follow the instructions on the form. Remember to have the document notarized.

• Religious Exemption: A SC Certificate of Religious Exemption (DHEC 1126) is issued by a DHEC Health Department. The parent or guardian must sign the DHEC form in the presence of a notary. • Special Exemption: A SC Certificate of Special Exemption (DHEC 1123) may be issued by the school to a student

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The updated South Carolina Certificate of Religious Exemption form DHEC 1126 must be obtained from your local health department. Please note that the updated religious exemptions forms will include DHEC's most recent logo which can be viewed on the scdhec.gov website.

DSS Form 1148 Certification of Immunization or DHEC 1126 Certificate of Exemption must be completed and returned to the Director.

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DHEC-1123.pdf May be outdated DHEC-1126.pdf May be outdated DHEC-1148.pdf May be outdated South Dakota ExemptionVacLib-SD.doc May be outdated ExemptionVacLibSD.pdf May be outdated Vaccination Exemption Pursuant to South Dakota Codified Law.doc Tennessee Tennessee religious exemption letter.doc May be outdated Texas

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