Medical Exemptions A temporary or permanent medical exemption to one or more of the immunizations may be granted under certain circumstances if a licensed physician (M.D. or D.O.) provides a written statement which states: That the physical condition or medical circumstances of the child are such that the required immunization(s) is not indicated. Which vaccines are being exempted. Whether the medical exemption is permanent or temporary. The expiration date, if the exemption is temporary. This is also discussed at www.ShotsforSchool.org under exemptions. The physician’s written statement must be added to the student’s cumulative folder along with the Blue Card. Students with temporary medical exemptions (page 10) must be tracked to confirm that either they have received exempted doses before the exemption expires or that a temporary exemption has been extended by a licensed physician.