Instructions For Filing For A Medical Exemption

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Instructions for filing for
a medical exemption
from submitting proof of
Immunization.
The New York State Department of Health’s Immunization Handbook for Post
Secondary Institutions provides the following information regarding Medical
Exemptions for students:
Medical Exemption
“If a licensed physician, physician assistant, or nurse practitioner, or licensed midwife caring
for a pregnant student certifies in writing that the student has a health condition which is a
valid contraindication to receiving a specific vaccine, then a permanent or temporary (for
resolvable conditions such as pregnancy) exemption may be granted. This statement must
specify those immunizations which may be detrimental and the length of time they may be
detrimental. Provisions need to be made to review records of temporarily exempted persons
periodically to see if contraindications still exist. In the event of an outbreak, medically exempt
individuals should be protected from exposure. This may include exclusion from classes or
campus.”
In general, the following persons should not receive Measles, Mumps, or Rubella
Vaccine without checking with a doctor.
• Previous anaphylactic reaction to this vaccine or to any of its components.
• Pregnancy or possibility of pregnancy within 4wks.
• Severe immunodeficiency (e.g., hematologic and solid tumors; receiving chemotherapy;
congenital immunodeficiency; long-term immunosuppressive therapy; or severely
symptomatic HIV).
Note: HIV infection is NOT a contraindication to MMR for those who are not
severely immunocompromised (i.e., CD4+ T-lymphocyte counts are greater than or equal
to 200 cells/μL).
The New York State Department of Health’s Immunization Handbook for Post
Secondary Institutions can be found on the Baruch College website at

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