PERMANENT MEDICAL EXEMPTION (FIRS 680 - PART C) THAT THE PHYSICAL CONDITION, OF THIS CHLD IS SUCH THAT IMMUNIZATION(S) IS MEDICALLY CONTRAINDICATED. UST VACCINE(S) AND STATE VAUD REASONING OR EVIDENCE FOR EXEMPTION FOR EACH VACCINE. Has Nem 55O.. PHYSOMS SIGNATURE --- on- s $dI epr Hba or agtesseseirM r-