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Immunization Exemption Form
 If you have any questions regarding immunization exemption, please reach out to one of our school nurses for assistance:

Jennifer Pike
School Nurse
Fairfield Union High School & Bremen Elementary

Janeen Thompson
School Nurse
Rushville Middle School & Pleasantville Elementary
Attachments Available To Download:
State of Ohio Legal Immunization Exemption Form
State of Ohio Legal Immunization Exemption Form (RTF)