PHEN- medical exemption form

Medical exemption form

The following is a version of the medical exemption form one can file with their affidavit instead of filing other more specific medical forms. The version below is from The Pennsylvania Home Education Handbook by Diana Baseman, with permission from the author.

Available here in 3 file formats for offline reading or printing. Everyone should be able to view at least one of them.
medical exemption form in .pdf format
medical exemption form in .doc format
medical exemption form in .rtf format


Last Updated: February 7th 2001
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Medical exemption form ©copyright 1994, 1989 by Diana Baseman